HomeMy WebLinkAboutBuilding Permit #1375 - 19 CANDLESTICK ROAD 11/18/1993 Date/. . .. . . . ... .. ......
�3 ' 7
N0RT" TOWN OF NORTH ANDOVER
0 � ° op PERMIT FOR GAS INSTALLATION
s � a
SAC US
This certifies that . ..). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . . . . . . . . . . . . . . . . . . . . . . . . . . . .
in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .. North Andover, Mass.
Fee. . . . .'. . . . Lic. No.. . . . . . . . . .
11/30/93 12:37 22,550 *#INSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTINO 4.1
(Print or Type)
NORTH ANDOVER Mass. / Date_Z •
4uilding Location
91,e-5 T7 Permit"#
i 25
.� Owners Nam /�n r' r' Kp S lF
• New -We_ Renovation D Replacement Plans Submitted
FIXTUP,_IS
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SUR-13SIAT.
BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
TTH FLOOR
STH FLOOR
(Print or Type) Check one: Certificate
Installing Compa/n�y Name 8¢b I4"�. Q Corp.
Address 5 0TTrP_ Partner.
s Ve_V4.-b r, . 1-- - Firm/Co.
Business Telephone: 66 5j 451Z>LSA
ti
Name of Licensed Plumber or Gas Fitter cj /G ,D/ eCfD
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy Other type of indemnity Q Bond E]
Insurance Waiver: I , the undersigned, have been made aware that the licensee of
this application does not have any one of the above three insurance coverages.
Signature of owner/agent of property Owner 17 Agent El
1 hereby certify that all of the details and information I have submitted (or entered)in&bore application are true and accurate o the t of my
knowledge and that all plumbing work and installations performed under Permit issued for this application will-be in eomiZ. a sL ti ent
provisions of the Massachusetts State Gas Code and chapter 141 of the Ganem laws.
By TYPE LICENSE:
Plumber
Title Gasfitter Sign Lure of Licensed
Master Plumber or Gasfitter
City/Town: yg�/O
Journeyman
APPROVED (OFFICE USE ONLY) License. Number
ml 00-SZ ��:E,1 £; +
Date... ... .. . . ... .. .... ..
a
NORTH TOWN OF NORTH ANDOVER
` °p PERMIT FOR GAS INSTALLATION
t
�,SSACHUSEt4
This certifies that . . . . . . .r. . . . . . . . . . . . . . .r. . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . .). :.'. . . . . . .: . . . . . . • • • • •i • •
in the buildings of . . . . . . . . ... . . . . . . . . . . . . oil
. . . . .. . .
Fee..l... . .-. Lic. NO.. . . . . l. . . ., North Andover, Mass.
WHITE:ApplicantRYGAS INSPECTOR
CANA :Building g Dept. PINK:Treasurer
GOLD:File