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64 GROVE STREET, BUILDING #2, SUBMETERING OF WATER AND SEWER CERTIFICATES MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 101 #Of units in bld .43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becREGUVED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) CITY OF SALEM Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. WlI have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &-tk, a0& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 102 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming eligible for submetering for water and/or sewer services. The devices must meet the following specifications: RECEIVED Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) OCT 14 2026 Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) LEM The submetering equipment used to measure the quantity of water used for each dwelling unit and co CITY OF A ,1��&W�LTH meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbf'1'leter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes ckQ,r,-fk acod 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 104 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit� tGV C�V CL�r submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute (gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes '?,�t>�, l�Rod,�a. 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LJThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 105 #Of units in bldg." City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit boW* submetering for water and/or sewer services.The devices must meet the following specifications: 1 l Gv Iv Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 22 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ 1 have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes 94A aer& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the "Housing Code" ),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 106 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming eligible for submetering for water and/or sewer services. The devices must meet the following specifications: RECEIVED Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) 0 C T 14 2026 Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) The submeteringequipment used to measure the quantity of water used for each dwelling unit and co CITY OF a p EAJI q Y g @Ik,��.>l�u�'� meet the standards of accuracy and testing of the American Water Works Association or similar accreitec(association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes &--d, ao-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to LOeal Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 107 #Of units in bld.-.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling urREqG&VED for submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SA!EM 130RRD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓❑ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required, is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes ��r,-tk T.w, 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5) 1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitwy Code, Chapter II the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 108 #Of units in bl&_,.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit b(Rtl ?s e-N18D submetering for water and/or sewer services. The devices must meet the following specifications: L—%a V 1� Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute (gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes &--tk kk,o-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4) The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# i09 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit bWOWED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. FThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes C'�a a r& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5) I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date QThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L C. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 110 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit bexlg, submetering for water and/or sewer services. The devices must meet the following specifications: CCII..�i tftb Showerheads with maximum flow rate not to exceed 2.5 gallons per minute (gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush,toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p), does not require the installation of a submeter. Keith Rhodes 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 201 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit ftEtE1 ig �or submetering for water and/or sewer services. The devices must meet the following specifications: �"(GGI�G VV Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ✓❑ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &tk, kko-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for subtrietering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 202 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit bercq i _1U0i l&rfM submetering for water and/or sewer services. The devices must meet the following specifications: t"1 in ETV t:D Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) Q C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes &--tk kkc& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5) I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date submitted to Local Health 186§22- Department: 09/21/2026 Prior Owners Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the "Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 203 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION II 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit be GFENED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) 0 C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) CITY OF SALEM Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓� I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &tk T'.P,.od.lJa, 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 204 #Of units in bldg.43 City/Town: Salem MA zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoilD submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install toilets and submetering equipment. �V Submetering equipment information: TA Solutions olutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ❑✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes ',- , Rkeau 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Naive of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L C. Date Submitted to Local Health lab§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code" ),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 205 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit bec4r tU?1,tM,NED submetering for water and/or sewer services. The devices must meet the following specifications: I 1 Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓❑ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes 11433 09/17/2026 Licensed Plumber's Name Plumber' Sigmature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5) I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 206 #Of units in bldg.43 City/Town: Salem MA zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becomi EGEWE D submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) 0r,T 14 c0,25 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF FIE6�i? BOARD ear-��1T H The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION i certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓❑ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. VThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &--tk kko-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date _ OWNER CERTIFICATION I certify that: (1) This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 207 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becom for submetering for water and/or sewer services. The devices must meet the following specifications: S i Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) D T 14 ?f1261 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) f. Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALE The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓❑ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, § 22(p),does not require the installation of a submeter. Keith Rhodes ',- , T-ko-d..P,o, 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All Showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the "Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 208 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit beco>BD'E%h�1V�r D submetering for water and/or sewer services. The devices must meet the following specifications: !� vv GG Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) O C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ✓❑ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓❑ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c.. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy,a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter H(the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 209 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becornfV. E1 VED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ✓❑ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ❑✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. FV] The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes 9�a RkedL"l, 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitaiy Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 210 #Of tmits in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit bee VEC8 VtID submetering for water and/or sewer services. The devices must meet the following specifications: GG VV �� Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. t86, §22(p),does not require the installation of a submeter. Keith Rhodes k 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 211 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming eligible for submetering for water and/or sewer services. The devices must meet the following specifications: RECEIVE® Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) 0 C T 14 2026 Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM The submetering equipment used to measure the quantity of water used for each dwelling unit and common 91DARMOF HEALTH meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmetef Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. t86, §22(p),does not require the installation of a submeter. Keith Rhodes &--t, ao-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads,faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy,a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LJThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Cha ter II(the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 212 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit beco �gigi ® submetering for water and/or sewer services. The devices must meet the following specifications: h —C�! Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ❑✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes &tk aor& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LlThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L C. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 301 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit beconR 1 BVED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) EM Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SAL BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186,§ 22(p),does not require the installation of a submeter. Keith Rhodes &--tk Uv-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3) The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LJThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 302 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming 9:08VE® submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes ei, RkC-dL"1. 11433 09/17/2026 Licensed Plumber's Name Plumber' Si,-nature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 303 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becomim submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SA!FM D0,0.9D OF yc n iT11 The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. VThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes ck&--t, ae-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L C. Date Submitted to Local health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 304 #Of units in bl&.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming E'61VED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) O C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) C;TY OF SAL EM The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &-di, a dt"l, 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under.the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date IDThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 305 #Of units in bldg.43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becominR �11VED submetering for water and/or sewer services. The devices must meet the following specifications: OLEO" CLd Showerheads with maximum flow rate not to exceed 2.5 gallons per minute (gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute (gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &tk ZWLa, 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All Showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 306 #Of units in bid .43 City/Town: Salem MA Zip Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becomingmJiMm submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) 0 C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ❑✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &tk ao-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address:. 64 Grove Street Building #2 Unit# 307 #Ofunits in bid .43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming eIfC IV submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) 0 C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OFHEMT The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes lea,- , 1kko-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State SanitaU Code, Chapter II the"Housing Code"), the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 308 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming eRECE I V E submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) O C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOAR!)OF HE LT The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &--tk kkv-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All Showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR.TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 1 s6§22- Department: 09/21/2026 Prior Owners Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 309 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming I�E submetering for water and/or sewer services. The devices must meet the following specifications: �'�� Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2Q25 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SA!FM The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ❑✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes kko-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 310 #Of units in bldg.43 City/Town: Salem MA zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becomingAire OVE submetering for water and/or sewer services. The devices must meet the following specifications: �—v Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) 0 C T 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUIJmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes ck&--& ao-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.1-a Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the "Housing Code" ),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 311 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becominSECOVED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &--& kkca 4 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date_ OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 312 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming Re EOVE submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ✓❑ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &--& ao-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5) I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L C. Date Submitted to Local Health 196§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 401 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION C 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming 1'OV C submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute (gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute (gpm) CITY OF SALEM Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) BOARD OF HEALTH I The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy,a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 1865 §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 402 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming Pe JEIVE submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) O CT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed L6 gallons per flush(gpf) CITY OF BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ✓❑ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓❑ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. FThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with KUL.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &--tk Z6(L" , 11433 09/17/2026 Licensed Plumber's Name Plumber'-Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitaiy Code, Chapter II(the "Housing Code"),the following dwelling unlit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 403 #Of units in bldg.43 City/Town: Salem MA zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming XMr*iz submetering for water and/or sewer services. The devices must meet the following specifications: EIVED Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALT The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓� I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, §22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted t0 Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitaty Code, Cha ter II(the "Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 404 #Of units in bldg.43 City/Town; Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming eIREIVED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) O C T 14 202 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALE t30AR0 OF HGn.1_,H The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with KUL.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes Ck�a kkor& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5) I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 406 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming R 'EIVE submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186,§22(p),does not require the installation of a submeter. Keith Rhodes &4' Rk o-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 407 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becominREGIRVED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute (gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) EM Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SAL BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW Submeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. FV] The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All Showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitaty Code, Chapter II the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 408 #Of units in bldg.43 City/Town: Salem MA zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becomingRE EIVE submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALE�BOARD,,OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L.c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes &tk ao-d..e,a. 11433 09/17/2026 Licensed Plumber's Name Plumber' Si nature License# Date _ OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service,and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L.c. 186, § 22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 409 #Of units in bldg.43 City/Town: Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becoming eREGEIVE submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALT The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. IV Submetering equipment information: TA Solutions olutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ 1 have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. WIT have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. WIThe plumbing permit issued by the city/town,if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. C. 186, §22(p),does not require the installation of a submeter. Keith Rhodes &--fk, RkC& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitaw Code, Chapter II(the"Housing Code"),the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 410 #Of units in bldg.43 City/Town: Salem MA zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becominfllIff 'vED submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. ✓❑ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town,if required, is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186, §22(p),does not require the installation of a submeter. Keith Rhodes Tlo-& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)1 will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date LiThe property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186§22- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23 MASSACHUSETTS DEPARTMENT OF PUBLIC HEALTH SUBMETERING OF WATER AND SEWER CERTIFICATION FORM In accordance with M.G.L. c. 186, §22 and 105 CMR 410.000:Minimum Standards of Fitness for Human Habitation, State Sanitary Code, Chapter II the"Housing Code" ,the following dwelling unit is eligible for submetering water and sewer. PROPERTY INFORMATION Address: 64 Grove Street Building #2 Unit# 411 #Of units in bldg.43 City/Town; Salem MA Zi Code: 01970 EQUIPMENT INSTALLATION INFORMATION 105 CMR 410.130(C)requires the installation of water conservation devices prior to a dwelling unit becominRECOVE® submetering for water and/or sewer services. The devices must meet the following specifications: Showerheads with maximum flow rate not to exceed 2.5 gallons per minute(gpm) OCT 14 2026 Faucets with maximum flow rate not to exceed 2.2 gallons per minute(gpm) Ultra-low flush toilets not to exceed 1.6 gallons per flush(gpf) CITY OF SALEM BOARD OF HEALTH The submetering equipment used to measure the quantity of water used for each dwelling unit and common area must meet the standards of accuracy and testing of the American Water Works Association or similar accredited association. A Massachusetts licensed plumber must install the toilets and submetering equipment. Submetering equipment information: MTW SUbmeter Solutions MTW MJ20-075C Manufacturer Model# LICENSED PLUMBER CERTIFICATION I certify that(check all that apply): ❑✓ I have installed or inspected the submetering equipment listed above and have determined that they meet accepted plumbing standards. �✓ I have installed or inspected all the toilets in this unit and have determined that they meet accepted plumbing standards. The plumbing permit issued by the city/town, if required,is attached. This dwelling unit is connected directly to a meter installed by a water company and,in accordance with M.G.L. c. 186,§22(p), does not require the installation of a submeter. Keith Rhodes &4' a r& 11433 09/17/2026 Licensed Plumber's Name Plumber' Signature License# Date OWNER CERTIFICATION I certify that: (1)This dwelling unit is eligible for submetering of water and/or sewer usage in accordance with the water submetering law (MGL c. 186, §22). (2)All showerheads, faucets and toilets in this dwelling unit meet the conservation standards specified above. (3)The water submeter(if present)measuring the use of water in this dwelling unit was installed by a licensed plumber and complies with the standards of accuracy and testing required by the water submetering law(M.G.L. c. 186, § 22). (4)The water meter or submeter measures the water usage exclusive to this unit. (5)I will provide to the tenants of this dwelling unit,prior to occupancy, a written rental agreement that clearly provides for the separate charging of water and/or sewer service, and a copy of this certification form. (6) All information included on this certification is true and accurate to the best of my knowledge. THIS FORM MUST BE FILED WITH THE LOCAL HEALTH DEPARTMENT PRIOR TO INITIATING SUBMETERING Signed under the pains and penalties of perjury, Rita Roberto Rita Roberto 09/14/2026 Name of Owner Signature of Owner Date The property has been transferred to the owner above and the unit remains in compliance with the requirements of M.G.L c. Date Submitted to Local Health 186 Taz- Department: 09/21/2026 Prior Owner's Signature Date 410-23-Submetering of Water and Sewer Certification Form 5-12-23