HomeMy WebLinkAboutMiscellaneous - 10 WOODRIDGE DRIVE 4/30/2018 (5)'-� I--,-
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
4 Date
Building Location"S Owners Name }"L ! Y �' - SPermit #
Amount
Type of Occupancv
New 1:3 Renovation Replacement Plans Submitted Yes ❑ No ❑
FIX URF.0
,S,�ACMuSE�
"This certifies that .... U -,.Q1. %-.... /I./-�
has permission to perform ....w 4: .......................
plumbing in the buildings of ....L4 Q. o. �. .h.. t" 4 .......... • .. .
at ... ........ North Andover, Mass.
Fee .3 .L ..... Lic. NoJ 2,A -1 .Z ...... P . .... .
PLUMBING INSPECTOR
Check #
676
u
leek one: Certificate
IDD Corp.
JPartner.
Firm/Co.
i
I
box:
Bond ❑
cation does not have any one of the above
I
i
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pe formed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts2%�Ih�nd Cha ter l42 of the General Laws.
/1 i
By'1giri re o Ic ensc um r
Title ./rype of Plumbin License
City/Town >cense um a Master Joumeyman ❑
APPROVED (OFFICE USE ONLY
s
•
A.
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING 4M
-MM
---------■
----------
--------MM
--
MM
WIMM-
-.---5-MM-
,S,�ACMuSE�
"This certifies that .... U -,.Q1. %-.... /I./-�
has permission to perform ....w 4: .......................
plumbing in the buildings of ....L4 Q. o. �. .h.. t" 4 .......... • .. .
at ... ........ North Andover, Mass.
Fee .3 .L ..... Lic. NoJ 2,A -1 .Z ...... P . .... .
PLUMBING INSPECTOR
Check #
676
u
leek one: Certificate
IDD Corp.
JPartner.
Firm/Co.
i
I
box:
Bond ❑
cation does not have any one of the above
I
i
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pe formed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts2%�Ih�nd Cha ter l42 of the General Laws.
/1 i
By'1giri re o Ic ensc um r
Title ./rype of Plumbin License
City/Town >cense um a Master Joumeyman ❑
APPROVED (OFFICE USE ONLY
11
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
( , ')� 1 1 %�� Date _�(2
Building Location /y� OpOwners Name //Ct d��.i +�J� l4vA(,i "
=Permit #
%� Amount^
i U v�J "�' �� `'��� Type of Occupancy
New 1:1 Renovation E]
Replacement
i
FiYTiTl2Ti'C
Plans Submitted Yes 1:11
No ❑
i
i
.•
_TOWN OF NORTH ANDOVER�eiii�=
.. Y' '• PERMIT _ PLUMBING
CHUS
.J
AMM
WMN��
iiiiiiiiii
M
------M---
isiiiiiiiiN
This certifies that .... W.0.L. �`... / `: • • .... • • • • • • • • Teck one:
Certificate
has permission to perform .. jkcl v. vA/' ..- ... ................. ] Corp.
.plumbing in the buildings of ...K4. A J./?'.t`J.j.T............... !] Partner.
at. ............ North Andover, Mass.
Firm/Co.
Fee. .y� .... Lie. No... 14Z.S � ......�. � .. ........ �
PLUMBING INSP CTOR
Check # box:
Bond
6 r p
1 8 cation does not have any one of the above
Signature Owner
I hereby certify that all of the details and information I have su
best of my knowledge and that all plumbing work and installati
compliance with all pertinent provisions of the Massa,husettst
By: Ig.n ure Of Ic
Title
City/Town
APPROVED (OMCE USE ONLY
1-3 Agent El
`ted (or entered) in above application are true and accurate to the
p fo ed under Permit Issued for this application will be in
by'iig ode ind Chapter -142 -of the General Laws.
Type of Pl robing License
Z Z.
icense : um er M
aster
Journeyman ❑
1VIASSACHUSErIS UNIFORNI APPUCATON FOR PERAW TO DO GAS FTrnNG
Date
(Type or print)
NORTH ANDOVER, MASSACHUSETTS n
Buildiin}C/ g Locations %�
/ rLj) 1)d �� 1`- U ' S ,4C >'',' Owner's Name
Date.. .......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .....1..�!.
has permission for gas installation ..... R0. t - y. -:� ........... .
in the buildings of ... t ., P. 4 ./` . k A . ................... .
at .... IR 131i ! �.1^.... C� ......... North Andover, Mass.
'
Fee. 3L.'�. Lic. No.. '.. .. ...L�..�-�'�,r-�,........
GAS INSPECTOR
Check #
.5397
Name of Licensed Plumber or Gas Fitter
vt_6 Permit #
Amount .$ 3 t_
bmitted ❑
Jill
-1
lcl
Cone: Certificate Installing Company
U Corp.
❑ Partner.
eQ Firm/Co.
L") 0
INSURANCE COVERAGE• Check o :
I have a current liability Insurance policy or it's substantial equivalent. Yes No❑
If you have checked ,yes, pl a indicate the type coverage by checking the appropriate bo .
Liability insurance policy Other type of indemnity ❑ Bond ❑
77
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
t hereby certify that all of the details and information i nave suomtaea (or enterea) in aoove appucanon are true ana accurate to uIc
best of my knowledge and that all plumbing work and installations pe ormed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Nlassachusetts S ate i Y o e artitNhjtpter 142 of the General Laws.
Y
i tle
ity/Town
VED iOFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber0/7
Z.
Gas Fitter License Number -
Master
Journeyman
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building
Owners
of
New Renovation Replacement
Fi�ITi TR FC
This
has 1
Date
f f�_(�l"►? Permit # �y
Amount i
Plans Submitted Yes 1:1 No
i
•
i
Datei
• • • •
LMMMMMM0000
LOMMMMMMMMM
i
r
=
MMM
mmmmmm
�------.--
--------M
----.-----
Mmw
MOWN
lumbing in the buildings of ..%.4.v.v e k. t.Ap.................
_ heck one: Certificate
It .....L(... .......... North Andover, Mass. Corp.
Lic. No../. ? -:L,: 2.1 . .......
����..... 1 Partner.
PLUMBING INSPECTOR
Check # Firm/Co.
6759
� box:
...�...�, ..., ..u�. , r,.,,,�y Uwcr type or maemnrty U Bond ❑
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
rgnature Owner ❑ Agent El
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installat' }ns performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachus is ,ing•Cde and oCha ter l42 of the General Laws.
By:rg a ure o icense um r
Title
�-
T'�ypee of Plumbing License
City/Town cense � u Master Journeyman
APPROVED (OFFICE USE ONLY
MA%ACHUSEI'I'S UNIFORNAPPLJCATON FOR PERM TO DO GAS F rnNG
(Type or print)
NORTH ANDOVER, MASSACHUSETTS �) ,
Building Locations// Cot ()-r s,),,
jo Li, � a I it, ; J r , ,/�, _Owner's Name
Date. / d,z . 4 .... .. .
e • `~�� TOWN OF NORTH ANDOVER
o> , . PERMIT FOR GAS INSTALLATION
This certifies that .....U, ,
has permission for gas installation .. A4 .04 ...................
in the buildings of ....W..Q
at .. .. !yr c �c f, �, �, rL....... . , North Andover, Mass.
Fee.. )--0. ' . Lic. No..,! Z. t S.. ......
/GAS INSPECT
Check #
?98
Name of Licensed Plumber or Gas Fitter
Date
G
k5-31 .1 i� Permit #
Amount
C.Ibmitted ❑
-
C one: Certificate Installing Company
U Corp. .
❑ Partner.
Firm/Co.
INSURANCE COVERAGE Check '
I have a current liability Insurance policy or it's substantial equivalent. Yes No❑
If you have checked yes, ple se dicate the type coverage by checking the appropriate .
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installation rfor-mee�dd� under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts d Chapter 142 of the General Laws.
F•
tie
ty/Town
VED (OFFICE USE ONLY)
Signature of Licensed Plumber Or Gas Fitter
Plumber / �2 --2
Gas Fitter License Number
Master
Journeyman
NIASSACHUSE M UNIFORM APPUCATON FOR PERNIIT TO DO GAS FTMNG
(Type or print)
NORTH ANDOVER, /^ MASSACHUSETTS
Building Locationsr� S` Building '1- w �LLt- t_ J Li 6
Owner's Name
NewD Renovation D Replacement r
n o. n ♦cru T� N T
Date .. . l/�®14...... .
�HORTM
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ... .6.l.l'.�.............. ...... .
has permission for gas installation .. w. �` .................
in the buildings of ... LO. .Q At .�-/L t�.l.t,c�.....................
at .� J - .� c P 5. S �. °�... 4-� _ ....... North Andover, Mass.
Fee. o? -O ... Lic. {.
As INSPECTOR
Check #
5400-
Date &
Permit # S -Y6 0
Amount .S rAo
Plans Submitted
one: Certificate Installing Company
Corp.
Partner.
[q irnl�o.
ChecVn
Yes No 0
.e box.
Bond 13
coverage required by Chapter 142 of the
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pe ed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts Site • \ hapten 142 of the General Laws.
tie
ty/Town
UWFKU V M) i.OFFICE USE ONLY)
Signature of Licensed Plumber Or Gauer
Plumber v
Gas Fitter License Numberr
Master
Journeyman
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date. . .
,,,, _..••. oo� TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ..... �),I . (`. r j ......................
has permission to perform ..... ........................
plumbing in the buildings of ...w. ;:�v 4 iO-A
at ... a.Y-:-% cA ........... North Andover, Mass.
Fee. . 5.0... Lic. No.. A t -T O��. .... .
LU MING INSPECTOR
Check #
6762
Installing Company Name _&
Name of Licensed Plumber:
Insurance Coverage: Indicate
Liability insurance policy r
tted Yes ❑ No ❑
-neck one: Certificate
Corp.
Partner.
Firm/Co.
appropriate box:
Bond
ED
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
threeinsurance
Signature Owner ❑
I hereby certify that all of the details and information I have submitted
best of my knowledge and that all plumbing work and installations per o
compliance with all pertinent provisions of the Massachusetts S
By:Signayte UT LicenSeGIFIL
Agent 11
entered) in above application are true and accurate to the
led r Permit .Issued for this application will be in
Code d Chaptg—L42�;eneral Laws.
ype of Plumbing License
Tale
City/Town iLu rise um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
N ASSACHUSEI'I'S UNIFORM APPUCATON FOR PERNIIT TO DO GAS FnTNG
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations
6 �— Owner's Name
Date. !!�/. .........
01
A
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .........................
has permission for gas installation ...�/- c,.t...T ...............
in the buildings of ...b.� ....................
at ..... l �i .. C� G �. Y ..."...... , North Andover, Mass.
Fee.. !`q... Lie. No.,S.. ... ,. ......
INSPECTOR
Check #
5405
Name of Licensed Plumber or Gas Fitter
Date
r,
Permit # S� Q
Amount .$
abmitted 11
C one: Certificate Installing Company
Corp.
Partner.
Firm/Co.
--7/ P -) - /�, ,
INSURANCE COVERAGE Check o
1 have a current liability Insurance policy or it's substantial equivalent.. Yes NoO
If you have checked yes, please 'ndicate the type coverage by checking the appropriate D
Liability insurance policy Other type of indemnity 13 Bond
Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 0 Agent 13
t hereby certify that all,of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performeq un er Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State clpff-C d of the General Laws.
tle
VED iOFFICE USE ONLY)
$rgnature of Licensed Plumber Or Gas Fitter
Plumber / _,
Gas Fitterrcensel umi ber
Master
Journeyman
MASSACHUSETTS UNNORN1 APPUCAMN FOR PRRNIN TO DO GAS FTFnNG
(Type or print) Date
NORTH ANDOVER,, MASSACHUSETTS
Building Locations l Permit # Of
C Amount $ �v
Owner's Name
New ❑ Renovation ❑ Replacement OY Plans Submitted ❑
(Print or type)
Name
Address
�JE.JK_4W®
Name of Licensed Plumber or Gas Fitter
CjlMk one: Certificate Installing Company
Corp.
❑ Partner.
Firm/Co.
INSURANCE COVERAGE Check
I have a current liability Insurance policy or it's substantial equivalent. Yes No❑
If you have checked yes, please ' dicate the type coverage by checking the appropriate
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performe un er Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State G,� d of the General Laws.
tie
ty/Town
VED (OFFICE USE ONLY)
$fgnature of Licensed Plumber Or Gas Fitter
Plumber _
Gas Fitter TlcenseNumver
Master
Journeyman
man
(Print or type)
Name
Address
�JE.JK_4W®
Name of Licensed Plumber or Gas Fitter
CjlMk one: Certificate Installing Company
Corp.
❑ Partner.
Firm/Co.
INSURANCE COVERAGE Check
I have a current liability Insurance policy or it's substantial equivalent. Yes No❑
If you have checked yes, please ' dicate the type coverage by checking the appropriate
Liability insurance policy Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver. I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performe un er Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State G,� d of the General Laws.
tie
ty/Town
VED (OFFICE USE ONLY)
$fgnature of Licensed Plumber Or Gas Fitter
Plumber _
Gas Fitter TlcenseNumver
Master
Journeyman
MASSACHUSETFS UNIFORM AFFUCATON FOR PERNllT TO DO GAS FITTING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS.
Building Locations
f tJ >1J1�,�- L1 ./� Owner's Name
New D Renovation 1:1 Replacement
r)B.BASEM ENT
Date
Date... e .... .
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
Plans Submitted
This certifies that ....V- �,. U.(-. I..e. 9 ... .
has permission for gas installation .... tom-. �/ ................
in the buildings of ... telro P .��.� ......................
at......` 7. AA x -J. mrw .�........... , North Andover, Mass.
Fee..Lic. (.—, 1—� ..,......
GAS INSPECTOR
Check #
5408
Permit # SS yo k
.Amount 7-0 -,--
QU
CJjCQk one: Certificate Installing Company
Corp.
Partner.
Firm/Co.
es I No 13
box.
Bond 13
coverage required by Chapter 142 of the
t hereby certify that all of the details and information I have submrttea (or enterea) in'above application are true and accurate to the
best of my knowledge and that all plumbing work and installations perf��el
r Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State�ahapter 142 of the General Laws.
ty/Town
VED iOFFICE USE ONLY)
d'Signature of Licensed Plumber Or Gas Fitter
Cff Plumber /I Z
Gas Fitterterse NurnFer
Master
Journeyman
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Lo
Tvoe of Occnnnnry
Date. !/. ��� �•
TOWN OF NORTH ANDOVER
A PERMIT FOR PLUMBING
This certifies that .....t,C�� .(r. . 1).4.5 ......, • • _ .... • ..•
has permission to perform ... 14. � . . • • .............. • • • • •
plumbing in the buildings of ...U-. u. '. t .Lt,-.. • • • . • •
at. • ....... • • • .. North Andover, Mass.
Fee. .5 a'Lic. No.1 Li.r.i ....... ......
PLUMBING INSPECTOR
Check #
6776
Installing Company Name
Address
Date
Permit #�/_®
Amount 3 U C'
:ted Yes ❑ No ❑
Check one: Certificate
❑ Corp.
Partner.
Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of in._ rance c erage y checking the appro ate box:
Liability insurance policy Other type of indemnity ❑ Bond ❑
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
threeinsurance
Signature Owner ❑ Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations�fodr Permit Issued for this application will be in
compliance with all pertinent provisions of the Massayhusetts Stat and Cher 142 of the General Laws.
Title Type of Plumbing License.
City /Town tcense 19umoer Master
APPROVED (OFFICE USE ONLY LLRJ
Journeyman ❑
IN ASSAC METIS UNIFORM APPUCATON FOR PERNIIT TO DO GAS FITTING
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Locations Permit #
Amount .S
Owner's Name
New Renovation Replacement EE'
Plans Submitted 0
O U
G7 � F oT'4
U
Date../�44........ j
r... ° �� TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that.... W-0. �, 17` .. ••••••••g•••••••••••
has permission for gas installation ... ! <.'�• .4?1- r • • •
in the buildings of ...W AQ -4 .85t� ........... • • • • • • • • • • •
at ... 2.. 9 13-, '. . . P " .......... , North Andover, Mass.
Fee. -3.L. J Lic. No. i?: 9'...
GAS INSPECT R
Check #
5406
Signature of Owner or Owner's
i
Owner
Cffone: Certificate Installing Company
Corp.
Partner.
[ffFirm/Co.
Check lonr.
YesNo
:e box
Bond 13
coverage required by Chapter 142.of the
t hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pe�o�nder Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State • a and�ha r 142 of the General Laws.
By:
Title
City/Town
VED,,OFFICE 1JSE ONLY)
v
Signature of Licensed Plumber Or Gas Fitter
Plumber j _,�`
Gas Fitter License Number
Master
Journeyman
H
o
a
�n
Cffone: Certificate Installing Company
Corp.
Partner.
[ffFirm/Co.
Check lonr.
YesNo
:e box
Bond 13
coverage required by Chapter 142.of the
t hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pe�o�nder Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State • a and�ha r 142 of the General Laws.
By:
Title
City/Town
VED,,OFFICE 1JSE ONLY)
v
Signature of Licensed Plumber Or Gas Fitter
Plumber j _,�`
Gas Fitter License Number
Master
Journeyman
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
/�
? ' Date, -�
Building Location` 1i}C . hsOwners Namei��C� �'i r_� Ll'�'I Permit #
r ` Amount
Type of Occupancy
Date. ./.,�!!��?�•
ii
'��"°� TOWN OF NORTH ANDOVER
A
PERMIT FOR PLUMBING
This certifies that ..... (,,(-w0L t . • , P/ s• • ...... .
has permission to perform .... t.�--
Plumbing in the buildings of ... L4'-1QAoa t
• • • • • .. , North Andover, Mass.
Fee. .3 .4 '� . Lie. No7 L: t- %.. ......
Check # PLUMBING INSPECTOR
6774
Installing Company Name
i
Address
Business Telebhone
Name of Licensed Plumber: 4�14 444a
Insurance Coverage: Indicate the ype o Insurance Covera -g by�checic
Liability insurance policy Other type of indemnity
ted Yes ❑ No ❑
Check one: Certificate
Corp.
13 Partner.
Firm/Co.
Bond ❑
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
Ignature Owner ❑ Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations - fo d nder Permit .Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State lu nd Chapter 142 of the General Laws.
By: Igna ur kens- um
Title Ty of Plumbing License
C,
City/Town tc411 Journeyman El
(OFFICE USE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
New Li Renovation
Replacement M
FIXTITRFQ
Plans Submitted Yes ❑ No ❑
This certifies that .... 4!�'p C..l /? .CS .................. .
has permission to perform .....!s!,r I/-- .............
plumbing in the buildings of ..............
at .... L G.... Fe -c- �.� . i'��-- ......... ,North Andover, Mass.
Fee .. �?-.... Lic. No. l L. L.S. ?. ....... .
LUMBING INSPECTOR
Check #
6730,
heck one: Certificate
Corp.
'] Partner.
Firm/Co.
Ib
Bond Q
(cation does not have any one of the above
i
ignature OwnerEl Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations per d. nder Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts Sta P e a Chapter 142 of the General Laws.
By: igna gr o Icense um er e�
Title
1Tqfe of Plumbing License
L--
City/Town i ense � um e /I Master Journeyman ❑-
APPROVED (OFFICE USE ONLY
niiii
iii■�iiiiiiii
M
MM
MMMMimmmlmmmmmmmmmmmm
This certifies that .... 4!�'p C..l /? .CS .................. .
has permission to perform .....!s!,r I/-- .............
plumbing in the buildings of ..............
at .... L G.... Fe -c- �.� . i'��-- ......... ,North Andover, Mass.
Fee .. �?-.... Lic. No. l L. L.S. ?. ....... .
LUMBING INSPECTOR
Check #
6730,
heck one: Certificate
Corp.
'] Partner.
Firm/Co.
Ib
Bond Q
(cation does not have any one of the above
i
ignature OwnerEl Agent ❑
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations per d. nder Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts Sta P e a Chapter 142 of the General Laws.
By: igna gr o Icense um er e�
Title
1Tqfe of Plumbing License
L--
City/Town i ense � um e /I Master Journeyman ❑-
APPROVED (OFFICE USE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANTIOVFR Nrecce1-urTQrT-rc
New 1:3 Renovation Replacement Plans Submitted Yes ❑ No a
��cMusEheck one: Certificate
I Corp.
This certifies that ... LX—, Partner.
has permission to perform ....� t�1.�l. � :-��` t �,
Firm/Co.
Plumbing in the buildings of
at . .lG.....� ...► �- -
• • • • • • • • • • .. , North Andover, Mass. i b
Fee ..3 .L, Lie. No./4 t i' s Bond .......
t unneiNG INSPECTOR
Check # Aication does not have any one of the above-
6779
bove6°"9 Int
I hereby certify that all or me ereiaua a„u ... ............._. _ ______ love application are true and accurate to the
best of my knowledge and that all plumbing work and installations �Ie,6rfoed,�nessued for this application will be in
compliance with all pertinent provisions of the Massachusetts Statpter 142 of theGeneral Laws.
By: igna y o1 I-Icensea Flumoer
Title
e of Plumbing License City/Town L rens num er Master. � Journeyman ❑
APPROVED (OFFICE USE ONLY
FIATURES
................�-----.--,
/
s
•
/
Rrpf
0 �-/o C..
TOWN OF NORTH ANDOVER
FOR PLUMR!Nr.
��■��s�����MMI
LMMMM
imm
M
M
MMI
MM
MMI
■�������Date
MMM■
iiiiisiALMMMMMMMMMMOPERMIT
m■�i��mmmmmml
��cMusEheck one: Certificate
I Corp.
This certifies that ... LX—, Partner.
has permission to perform ....� t�1.�l. � :-��` t �,
Firm/Co.
Plumbing in the buildings of
at . .lG.....� ...► �- -
• • • • • • • • • • .. , North Andover, Mass. i b
Fee ..3 .L, Lie. No./4 t i' s Bond .......
t unneiNG INSPECTOR
Check # Aication does not have any one of the above-
6779
bove6°"9 Int
I hereby certify that all or me ereiaua a„u ... ............._. _ ______ love application are true and accurate to the
best of my knowledge and that all plumbing work and installations �Ie,6rfoed,�nessued for this application will be in
compliance with all pertinent provisions of the Massachusetts Statpter 142 of theGeneral Laws.
By: igna y o1 I-Icensea Flumoer
Title
e of Plumbing License City/Town L rens num er Master. � Journeyman ❑
APPROVED (OFFICE USE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
New ❑ Renovation ❑ Replacement ff Plans Submitted Yes ❑ No ❑
FIYTT TDIWQ
heck one:
Certificate
CHO Corp.
This certifies that .... to cl- • � • • .................. • ] Partner.
has permission to perform ..../3. ••.•••••.•.••••
Firm/Co.
plumbing in the buildings of ... 4.,4p . • • • • • • • • •
1�
at ....l. �� ..�.�. S..4t ...... ,North Andover, Mass. ;box:
Fee .Z
.... Lic. No..p-.i--? ? ...... f Bond
PLUMBING INSPECTOR
[cation does not have any one of the above
Check #
• i
6778 ❑
- -- nave suomittea (u> enrdtbd)-in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pe If rmed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State mb n � Chapter 142 of the General Laws.
By: ;glia u o Icense mer
Title
T pe of Plumbing License
-r X17
City/Town L-71�e se ; um er Master Journeyman
I.APPROVED !OFFICE USE ONLY
I
r
•
.r
.r
J
-r
•
«
'
Y Y
-----MMMMM
-----
-MMM
------
WMM
MM
mmmm
----------
-----MMMMME
-----■
heck one:
Certificate
CHO Corp.
This certifies that .... to cl- • � • • .................. • ] Partner.
has permission to perform ..../3. ••.•••••.•.••••
Firm/Co.
plumbing in the buildings of ... 4.,4p . • • • • • • • • •
1�
at ....l. �� ..�.�. S..4t ...... ,North Andover, Mass. ;box:
Fee .Z
.... Lic. No..p-.i--? ? ...... f Bond
PLUMBING INSPECTOR
[cation does not have any one of the above
Check #
• i
6778 ❑
- -- nave suomittea (u> enrdtbd)-in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations pe If rmed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State mb n � Chapter 142 of the General Laws.
By: ;glia u o Icense mer
Title
T pe of Plumbing License
-r X17
City/Town L-71�e se ; um er Master Journeyman
I.APPROVED !OFFICE USE ONLY
r�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
0t Date
Building Location Owners Name / (,� CB r ilt ' Permit #_ 4'/ ?
Amount �� LJ�
7 7
Type of Occu anc
New❑ Renovation 0 Replacement d Plans Submitted Yes ❑ No ❑
FTXTi 1A F C
This certifies that .....0 S
has permission to perform ..... a 'e �.
plumbing in the -buildings of .... C
atr-.- • e-�
• • • • • • • • ... , North Andover, Mass.
Fee. .3.t .'�"Lic. No.. 1.2r ] ; S
PL. BING INSPECTOR
Check #
6777,
I hereby ceI•tify that all of the details and information I have submitted
best of my knowledge and that all plumbing work and installations p i
compliance with all pertinent provisions of the Massae usetts St
By: Igna e Of Icense
F,
ick one: Certificate
1 Corp.
Partner.
Firm/Co.
5�Bo
nd ❑
cation does not have any one of the above
I
or entered) in above application are true and accurate to the
Wed un er Permit Issued for this application will be in
ode d Charter-1-4.,of the General Laws.
Title
ype of Plumbing License
,Z 9 C�
City/Town i en e um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
•
•i
_
-r
•
i
n
'r
•
_
i
_
•J
.r
.
•
i
CT wb TIXMA &V
(F
Date.
. • OF NORTH
TOWN
PERMIT • PLUMBING
.
_J
•
MM
MM
M
-----MM
MM
MM
---.-----
This certifies that .....0 S
has permission to perform ..... a 'e �.
plumbing in the -buildings of .... C
atr-.- • e-�
• • • • • • • • ... , North Andover, Mass.
Fee. .3.t .'�"Lic. No.. 1.2r ] ; S
PL. BING INSPECTOR
Check #
6777,
I hereby ceI•tify that all of the details and information I have submitted
best of my knowledge and that all plumbing work and installations p i
compliance with all pertinent provisions of the Massae usetts St
By: Igna e Of Icense
F,
ick one: Certificate
1 Corp.
Partner.
Firm/Co.
5�Bo
nd ❑
cation does not have any one of the above
I
or entered) in above application are true and accurate to the
Wed un er Permit Issued for this application will be in
ode d Charter-1-4.,of the General Laws.
Title
ype of Plumbing License
,Z 9 C�
City/Town i en e um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location
New ❑ Renovation ❑
Owners Name IV
of
Replacement
Date
e— Permit # G
Amount '� L
Plans Submitted Yes ❑ No ❑
• =
•
/
.r
/
I
•
i it
------------------�-�-.--
r • `
.
.---.--.--
--�---".--�
M
MW
MM
M
MMM--
.--�-----�
eck one: Certificate
ACHUSEt I Corp.
Thi scertifies that .....�.ri..U.�..F ..f.'.�..••••••••••••••• ]Partner.
has permission to perform ..... ! At .. L,4, '' f! •e`A �
'` 0 Firm/Co.
plumbing in the buildings of .. �! d v dt e G`. ..............
at .... .U..13.. �'.�. S . ................ North Andover, Mass. ibo&
--a:f
Fee . 3. L ..... Lic. No.. p.L ? ` ..... , � EIN
` ,r-� .... I BondPWUMBINGPECTOR
cation does not have any one of the above
Check #
6775 ❑
- ---- -�-• v �< <•_l 11,E uciaiia amu-rurvruiauon i nave submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts StatC e and Chapter 142 of the General Laws.
By: b 51 Licenscaum er
Title Type of Plumbing License
City/Town
icense um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
MASSACHUSETTS UNUORNI APPUCATON FOR MNIlT TO DO GAS FITTING
(Type or print) Date _ ,
NORTH ANDOVER, MASSACHUSETTS r
Building Locations �f A �� �-�� LL & 0-1 J �` � Permit # �^ IN
f
�'
A� �� � r t ��� ,,� � � Owner's Name Amount
New Renovation Replacement Plans Submitted 0
~ p n 1
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that .... ...................
has permission for gas installation ..... -. ..............
in the buildings of W.,0.a /:I. C . .................... .
at /x- F :................ . North Andover, Mass.
Fee ...3 Lic. No. /A -L- i�..
INSPECTOR
Check #
1540
compliance with all pertinent provisions of the Nlassacnusetts Mate
ty(Town
\PPROVED .;OFFICE USE ONLY)
C one: Certificate Installing Company
Corp.
I
Partner.
I
Finn/Co.
Check. one:
Yes
No o
ate bo .
j Bond
13
T coverage required by Chapter 142 of the
auirement.
Agent
n above application are true and accurate to the
,Permit Issued for this application will be in
uhapW 142 of the General Laws.
%Signature of Licensed Plumber Or Gas Fitter
Plumber 4 `j z Z �)
Gas Fitter r7cense Numver
Master
r Journeyman
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS 5
J 1�01
Date y,
Building Location C'- , , .� . Owners Name � 1 Permit #��
J � `
ic--j r "i �"'ocJ Type of Occupancy Amount
New Renovation
Replacement
Plans Submitted Yes1-3No ❑
;,aha TOWN OF NORTH ANDOVER
0
p PERMIT FOR PLUMBING
'� +Dann° �.�`,�•i .
,S'tACNUS
This certifies that .....O�,I.U.� .� L.,4 ..................
has permission to perform ...................
plumbing in the buildings of (� -1.._ .............
at ... �..G�.f. S.y' -... ci4 ............. , North Andover, Mass.
Fee .31 .Lic. No.. f .?3-: t T .....
PLUMBING INSPECTOR
Check #
6772
by: a e oIcense um er
Title
'Iry f Plumbing License City/Town � � � ',�
Icensei um e 'T' Master
APPROVED (OFFICE USE ONLY
heck one: Certificate
Corp.
Partner.
Firm/Co.
box
I Bond ❑
Ii
!cation does not have any one of the above
I
it
i
ie application are true and accurate to the
t Issued for this application will be in
apter 142 of the General Laws.
Journeyman ❑
IM-11-F.-ITAIMMMM
MMM
MM
.`D
MMMMMM
WN
MM
M
MM
MMMMMMMM
EMMMMMMMM
;,aha TOWN OF NORTH ANDOVER
0
p PERMIT FOR PLUMBING
'� +Dann° �.�`,�•i .
,S'tACNUS
This certifies that .....O�,I.U.� .� L.,4 ..................
has permission to perform ...................
plumbing in the buildings of (� -1.._ .............
at ... �..G�.f. S.y' -... ci4 ............. , North Andover, Mass.
Fee .31 .Lic. No.. f .?3-: t T .....
PLUMBING INSPECTOR
Check #
6772
by: a e oIcense um er
Title
'Iry f Plumbing License City/Town � � � ',�
Icensei um e 'T' Master
APPROVED (OFFICE USE ONLY
heck one: Certificate
Corp.
Partner.
Firm/Co.
box
I Bond ❑
Ii
!cation does not have any one of the above
I
it
i
ie application are true and accurate to the
t Issued for this application will be in
apter 142 of the General Laws.
Journeyman ❑
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location
Owners
of
New 'Renovation Replacement
`s
Date
Y14 Permit#Z7/
Amount '� 2�.%
Plans Submitted Yes ❑ No E]
This certifies that ... U, .Q.4. r<7...P.
has permission to perform .... C .....................
plumbing in the buildings of ..L,4,.Q.o. !4. ./�.4
.............
at ... a? -r'$- s , , . A .... , ... , North Andover, Mass.
Fee. L�'�. Lic. No. . ..... , .. Q �c.uy- ....... .
PLUMBING INSPECTOR
Check #
heck one: Certificate
Corp.
-❑-� Partner.
aFirm/Co.
I,
bo>
Bond ❑
ilication does not have any one of the above
6771
-- - - _ 'nt
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations perfo m ed u demit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State lu ' • e and JChapter 142 of the General Laws.
By: Signature icensea Flumoer
T of Plumbing License
Title -� � ,�'
City/Town > ense um e Master Journeyman ❑
APPROVED (OFFICE USE ONLY
FIXTURES
1 I
----------------
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
.-.m-.---Date
-
This certifies that ... U, .Q.4. r<7...P.
has permission to perform .... C .....................
plumbing in the buildings of ..L,4,.Q.o. !4. ./�.4
.............
at ... a? -r'$- s , , . A .... , ... , North Andover, Mass.
Fee. L�'�. Lic. No. . ..... , .. Q �c.uy- ....... .
PLUMBING INSPECTOR
Check #
heck one: Certificate
Corp.
-❑-� Partner.
aFirm/Co.
I,
bo>
Bond ❑
ilication does not have any one of the above
6771
-- - - _ 'nt
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations perfo m ed u demit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State lu ' • e and JChapter 142 of the General Laws.
By: Signature icensea Flumoer
T of Plumbing License
Title -� � ,�'
City/Town > ense um e Master Journeyman ❑
APPROVED (OFFICE USE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS,
Building Location / U� t) 4)�CL(, .r� S� ers Name
3?
O ,
41
�S.C^CNUS� ..
This certifies that ....� �.. (� ... �.�.� ..................
has permission to perform .... C , ... , .. , , • . -
plumbing in the buildings of ...W..d.a.�, f��.l C�.�r.............
at . YR. !.4t .. P ?-� . , ..... • .. , North Andover, Mass.
i' )
Fee. 3 t--.2... Lic. NO../. .. L_.c S. ...... lzc) ...........
PLUMBING INSPECTOR
Lti/9iii t 1 I' C ��' Type of Occupancy
New 0 Renovation Replacement Pr
f e9Date 1 }�
Amount
Plans Submitted Yes No ❑
one: Certificate
Corp.
Partner.
Firm/Co.
Bond ❑
Dn does not have
Check # any one of the above
61'0
- - --•-•, •••.• „a auu u,iminauuu i nave suomttteo (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations per $ under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massac�tusetts St ` Q& and Char 142 of the General Laws.
Title
City/Town
APPROVED (OFFICE USE ONLY
'hype of Plumbing License
_ 17
tcense um er Master 0 Journeyman ❑
a Ely
101
R
MMM
• ,
Date.
------
�.M
ism
--------�-
MM
MM
MMM
one: Certificate
Corp.
Partner.
Firm/Co.
Bond ❑
Dn does not have
Check # any one of the above
61'0
- - --•-•, •••.• „a auu u,iminauuu i nave suomttteo (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations per $ under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massac�tusetts St ` Q& and Char 142 of the General Laws.
Title
City/Town
APPROVED (OFFICE USE ONLY
'hype of Plumbing License
_ 17
tcense um er Master 0 Journeyman ❑
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building
�?
0
� 9
CHUSi
New 1:1 Renovation
Owners NameW
Type of Occupancy
Replacement 0.
Date
wi Permi #
Amount g-��a--
Plans Submitted Yes No
PERMIT FOR PLUMBING
This certifies that ...
has permission to perform ...... X . vo.-- e
plumbing in the buildings of .. ! o �. t 4'7 ,.
at ....L4P.. %3ja /c ti ... _ ...... , North Andover, Mass.
Fee.Lie. NO.. 1.1.:L,S .9
'''`,.'� •ice..... .
PLUMBING INSPECTOR
Check #
6769
DCS1 Or my Kn0W1CU8c auu mat a„
compliance with all pertinent provisions of the Massachusetts State P�
By: igna ureo; Ic se
Title
Type 7f Plumbingr
City/Town T7>c se47-L m a
APPROVED roFMCE use ONLY
heck one: Certificate
13 Corp.
Partner.
Firm/Co.
f
box:
Bond ❑
lication does not have any one of the above
I
i
nt ❑
i
ve application are true and accurate to the
iit Issued for this application will be in
'hapter 142 of the General Laws.
Master �I jib Journeyman ❑
FUTURES
ILMMMMMMMMMME
hMMMMWWMMMMN
.NORTH
.--M--..--■
AMMNWMMMMMN
oMMMMWMMMMN
MMM==MNMMM■
PERMIT FOR PLUMBING
This certifies that ...
has permission to perform ...... X . vo.-- e
plumbing in the buildings of .. ! o �. t 4'7 ,.
at ....L4P.. %3ja /c ti ... _ ...... , North Andover, Mass.
Fee.Lie. NO.. 1.1.:L,S .9
'''`,.'� •ice..... .
PLUMBING INSPECTOR
Check #
6769
DCS1 Or my Kn0W1CU8c auu mat a„
compliance with all pertinent provisions of the Massachusetts State P�
By: igna ureo; Ic se
Title
Type 7f Plumbingr
City/Town T7>c se47-L m a
APPROVED roFMCE use ONLY
heck one: Certificate
13 Corp.
Partner.
Firm/Co.
f
box:
Bond ❑
lication does not have any one of the above
I
i
nt ❑
i
ve application are true and accurate to the
iit Issued for this application will be in
'hapter 142 of the General Laws.
Master �I jib Journeyman ❑
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER. MASSAC 14TT.SFZ T'T.0
� wiY.
This certifies that ....... • � � • C � ............. • • •
A l� G (
has permission to perform .....,�. •••••••••••••.. D Partner.
plumbing in the buildings of ...bl- U4 .C-'. • •.• • • • • • • • • • • Firm/Co.
at.c!s ............. , North Andover, Mass.
,o --rte io
Fee. �.Z . ?;� Lic. No.. 1. i-.� F. t .......k... �`'yi�^-' ..... j Bond ❑
PLUMBING INSPECTOR
Check # 'ation does not have any one of the above
6768 '
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installationqperl Weu, der Permit Issued for this application will be in
compliance with all pertinent provisions of the Massach setts Stade an 'Chapter 142 of the General Laws.
By: iensecl PURIM
p' ,o� mbing License
Title J V 9
APPROVED (OFFICE USE ONLY
City/Town 1cense um e Master. Journeyman
� ❑
MASSACHUSETTS UNIFORNI APPLICATON FOR PERM TO DO GAS F MNG
(Type or print) Date 14 1
NORTH ANDOVER, MASSACHUSETTS
r
Building LocationsC— ! �' �, Permit #
Amount.$
Owner's Name
FNew D Renovation Replacement Plans Submitted D
Date..l�`�G <......
0 TOWN OF NORTH ANDOVER
O � F
PERMIT FOR GAS INSTALLATION
This certifies that ...... w U..(. l `....%p. C.� .................
has permission for gas installation ....1 � f!. K: 7. `1c............ .
in the buildings of .... W...v,v.!�,r, I,(, ,�,`,,,,,,,,,,,,,,,,,,,
at .. ` :7.. �'/ C e. s. I .... , North Andover, Mass.
Fee ...3. ��� Lic. No.... ....
ISINSPECTOR
Check #
3403
one: Certificate Installing Company
Corp.
Partner.
1-3 Firm/Co.
;Yes Ez No
to boi(
Liability insurance policy Other type of indemnity Bond 13
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner 13 Agent 13
t hereby certify that all of the details and information I.have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State Gas fad c hapter 142 of the General Laws.
tie
ty/Town
IAPPROVED i0FRCE USE ONLY)
, ignature of Licensed Plumber Or Gas Fitter
Plumber 1 f'" e-- 2
Gas Fitter License iNumber
Master
Journeyman
d
MASSACHUSETTS UNIFORM APPUCATON FOR MNIIT TO DO GAS MING
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS
Building Locations S` � ��- ly� ' �t r r 6K,V =) Permit # L 0 Zi
Amount .$ 3 �, ��
I� �..J�[ii+�( �� !' JJ � �� Owner's Name
New ❑ Renovation Replacement 0 Plans Submitted ❑
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
9
This certifies that ..... Lj .0 I. i- ...'0. �'S.................
has permission for gas installation ....R R?: t:1 • "t • • • • • • • • • • • .
in the buildings of ....tom(.- .Q.0 . 1!L C2.. ................
at ..� %=i.-� 4 . 9,
at .............. North Andover, Mass.
Fee..7..1—'r' . Lic. No..1.Zz19.. 1 .� .. .
GAS INSPECTOR
Check #
5402
tie
)wn I
VED iOFFICE USE ONLY)
C one: Certificate Installing Company
f
Corp.
Partner.
�F1CII1�C0.
j Chon
Yes No ❑
ate bo .
i Bond ❑
`e coverage required by Chapter 142 of the
quirement.
�❑1:3Agent
n above application are true and accurate to the
Permit Issued for this application will be in
i111pter 142 of the General Laws.
Signature of Licensed Plumber Or Gas Fitter
Plumber 142-1,
Gas Fitter 17cense Nurnoer
Master
Journeyman
AS EM Er -4f-
-3RD. FLOOR
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
9
This certifies that ..... Lj .0 I. i- ...'0. �'S.................
has permission for gas installation ....R R?: t:1 • "t • • • • • • • • • • • .
in the buildings of ....tom(.- .Q.0 . 1!L C2.. ................
at ..� %=i.-� 4 . 9,
at .............. North Andover, Mass.
Fee..7..1—'r' . Lic. No..1.Zz19.. 1 .� .. .
GAS INSPECTOR
Check #
5402
tie
)wn I
VED iOFFICE USE ONLY)
C one: Certificate Installing Company
f
Corp.
Partner.
�F1CII1�C0.
j Chon
Yes No ❑
ate bo .
i Bond ❑
`e coverage required by Chapter 142 of the
quirement.
�❑1:3Agent
n above application are true and accurate to the
Permit Issued for this application will be in
i111pter 142 of the General Laws.
Signature of Licensed Plumber Or Gas Fitter
Plumber 142-1,
Gas Fitter 17cense Nurnoer
Master
Journeyman
s�f
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location
New 1:1 Renovation
Owners Name
Type of Occupancy
Replacement a
FIXTTTTDIPQ
Date
Permit # 6797
Amount ti
Plans Submitted Yes ❑ No
•
I
I
/
•
.Y
•
/
{ i
TOWN OF NORTH ANDOVER
FOR PLUMBINGPERMIT
LM
MM
-------MW
---■
------MM
MM
MM
MM
--.------�■
..-----.--■
This certifies that ..... U, Q., t .l `....P . t�)
has permission to perform .... S../.
plumbing in the buildings of ...U,.4p. L.t ...............
at ... ...... North Andover, Mass.
..ze
Fee. �✓ t- .... Lic. No. / L-A 9.7 . .......
LOMBING INSPECTOR
Check #
6767
u.
heck one: Certificate
I] Corp.
Partner.
Firm/Co.
box:
j Bond ❑
'ication does not have any one of the above
--It El
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations per rmed erPrmit Issued for this application will be in
compliance with all. pertinent provisions of the Massachusetts Stat' ode anhapter l4 .9fthe Gs neral Laws.
\\\
By:31gliaL ense um er
Title pe of Plumbing License
City/Town icense i um er Master Journeyman
L I R" 13
APPROVED (OFIICE USE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
r) ( Date ,%
Building Location ijJ' 1%- + Owners Name 1�tki' Pe it #
SCG
) r rAmount � �,�' . �1 ✓'�
Type of Occupancy
New Renovation Replacement Plans Submitted Yes ❑ No ❑
FiYTi TD 1G`c
r
,S'�AC MUS 1
Teck one: Certificate
This certifies that ..... .C..(= , J�, L�. 1� Corp.
has permission to perform .... P.19-�x'G. . , , , , ] Partner.
plumbing in the buildings of ..:W.4.� el (? t;c�3.... . ..... . . . . . . Firrr/Co.
at ... ... pc �•-, c.�`" .. , .... , North Andover, Mass.
Fee. .3L Lic. No./ZL 1. ........ box:
LU
MBING INSPECTOR Bond ❑
Check #
cation does not have any one of the above
6766
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations p - ormed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts St .ode and Cha ter 142 of the General Laws.
�,
By: iV. ure o cense um er
Title
Type of Plumbing License
� .y �,-
City/Town ieense , um er '�� Master Journeyman ❑
APPROVED (OFFICE USE ONLY
CT TXM sr
Date.
TOWN OF NORTH ANDOVER
FOR PLUM BING
---.-----.
MM
M
MM
MM
MMMMM
MM
iiiPERMIT
iii�
MMM
,S'�AC MUS 1
Teck one: Certificate
This certifies that ..... .C..(= , J�, L�. 1� Corp.
has permission to perform .... P.19-�x'G. . , , , , ] Partner.
plumbing in the buildings of ..:W.4.� el (? t;c�3.... . ..... . . . . . . Firrr/Co.
at ... ... pc �•-, c.�`" .. , .... , North Andover, Mass.
Fee. .3L Lic. No./ZL 1. ........ box:
LU
MBING INSPECTOR Bond ❑
Check #
cation does not have any one of the above
6766
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations p - ormed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts St .ode and Cha ter 142 of the General Laws.
�,
By: iV. ure o cense um er
Title
Type of Plumbing License
� .y �,-
City/Town ieense , um er '�� Master Journeyman ❑
APPROVED (OFFICE USE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING.
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
h
Date 61
Building Location > lQ Owners Name .1 (Jt'1nS permit #
.y
�Cn 9i�0 L J C P .br' Type of Occupancy Amount
Newri 1-1 Pi 1:1 Renovation Replacement Plans Submitted Yes No ❑
This certifies that
has permission to perform.i . . . ' ' ' ' ' ' ' • ' • . .. .
Plumbing in the buildings
at..
�. G of .. LC. v.o.l`{
Fee ..3 L ... Lic No. LL North Andover, Mass.
Check # —_ / PLUMBING INSPECTOR
5765.
..-I-
I hereby certify that all of the details and information i „u.,, ----
best of my knowledge and that all plumbing work and installations
compliance with all pertinent provisions of the Massachusetts Stat
By igna�r Ot Licens
Title e of Plumb
City/Town i ense ;t.L er
APPROVED (OFFICE USE ONLY
^k one: Certificate
Corp.
Partner.
Firm/Co.
Bond ❑
Dn does not have any one of the above
nt
i
ove application are true and accurate to the
rerinit Issued for this application will be in
Nd Chapter 142 of the General Laws.
License
Master Z4
Journeyman ❑
FEATURES
/
■■■■■■■■■■■■■■■■■■■■■■■
■■■■■■■■■■■■■■
Date. IMMOMMMMMME
TOWN OF NORTH ANDOVER
PE IT F09 pi
■■■■■■■■■■
■■■■■■■■■■
■■i■■■■■■■■
MMMOMMMMME
This certifies that
has permission to perform.i . . . ' ' ' ' ' ' ' • ' • . .. .
Plumbing in the buildings
at..
�. G of .. LC. v.o.l`{
Fee ..3 L ... Lic No. LL North Andover, Mass.
Check # —_ / PLUMBING INSPECTOR
5765.
..-I-
I hereby certify that all of the details and information i „u.,, ----
best of my knowledge and that all plumbing work and installations
compliance with all pertinent provisions of the Massachusetts Stat
By igna�r Ot Licens
Title e of Plumb
City/Town i ense ;t.L er
APPROVED (OFFICE USE ONLY
^k one: Certificate
Corp.
Partner.
Firm/Co.
Bond ❑
Dn does not have any one of the above
nt
i
ove application are true and accurate to the
rerinit Issued for this application will be in
Nd Chapter 142 of the General Laws.
License
Master Z4
Journeyman ❑
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date
cation � � t 0.
BuildingLoOwners Name 1 10, &4jK_S
Permit #--6-24 q/
r
Type of Occupancy Amount
New ❑ Renovation ❑
Replacement
FTXirTIDI e
Plans Submitted Yes ❑ No ❑
9S�acHus II Teck one: Certificate
4!" G r . r:... P. C s .................. ] Corp.
This certifies that ..... �--
has permission to perform .... P��-di.'- . ................. ] Partner.
plumbing in the buildings of .. V-0. Q. r-1. .............
Firm/Co.
at ...`.7.. /i �',.�--r• .N -'� ............. North Andover, Mass.
Fee : 3 L aJ Lic. No.) .....2.�. -�- .... box:BING INSPECTOR B d
o ❑
Check #
cation does not have any one of the above
6764
I
I hereby certify that all of the details and. information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations per . rm d under Permit .Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State urn R o nd Chapter 142 of the General Laws.
By: igna e o I
seariullloer
Title
pe of Plumbing License
City/Town is nse um er Master ❑
APPROVED OFFICE USE ONLY L?L.1 Journeyman
i
1 /
MM
M
----------1
iMM
iii�iMMM
iai�MM
mmmm
9S�acHus II Teck one: Certificate
4!" G r . r:... P. C s .................. ] Corp.
This certifies that ..... �--
has permission to perform .... P��-di.'- . ................. ] Partner.
plumbing in the buildings of .. V-0. Q. r-1. .............
Firm/Co.
at ...`.7.. /i �',.�--r• .N -'� ............. North Andover, Mass.
Fee : 3 L aJ Lic. No.) .....2.�. -�- .... box:BING INSPECTOR B d
o ❑
Check #
cation does not have any one of the above
6764
I
I hereby certify that all of the details and. information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations per . rm d under Permit .Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts State urn R o nd Chapter 142 of the General Laws.
By: igna e o I
seariullloer
Title
pe of Plumbing License
City/Town is nse um er Master ❑
APPROVED OFFICE USE ONLY L?L.1 Journeyman
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date _
Building Location Owners Name �� cj t�Ilk permit #
'' / Amount L a_
N4 / Type of Occupancy
New Renovation Replacement Plans Submitted Yes No
FiYTi TDL'C
S'.ACMUS
This certifies that ....
has permission. to perform ...`r4.y.
plumbing in the buildings of ... W.Q v It . .t. ............. .
at. �.%... !�. r ....... • .... • , North Andover, Mass.
Fee .... Z .:7Lic. No..A.4 gi.9. .. , ....lu
... .
M81NG INSPECTOR
Check #
6763.
Teck one: Certificate
Corp.
Partner.
3 Firm/Co.
i
'box:
I Bond ❑
cation does not have any one of the above
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installatio stperformed under Permit .Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts S 1 g Cod\nd Chapter 142 of the General Laws,
By: 1 u e 01 LICense m e
Ty e olu bing License
Title � ��'�
City/Town tcense um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
-r
Date.
OF NORTH ANDOVER
PERMIT
L
MM
MM
iiiniiii
iiiMM
M
MM
MTOWN
M
o_mmm�
S'.ACMUS
This certifies that ....
has permission. to perform ...`r4.y.
plumbing in the buildings of ... W.Q v It . .t. ............. .
at. �.%... !�. r ....... • .... • , North Andover, Mass.
Fee .... Z .:7Lic. No..A.4 gi.9. .. , ....lu
... .
M81NG INSPECTOR
Check #
6763.
Teck one: Certificate
Corp.
Partner.
3 Firm/Co.
i
'box:
I Bond ❑
cation does not have any one of the above
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installatio stperformed under Permit .Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts S 1 g Cod\nd Chapter 142 of the General Laws,
By: 1 u e 01 LICense m e
Ty e olu bing License
Title � ��'�
City/Town tcense um er Master Journeyman ❑
APPROVED (OFFICE USE ONLY
MASSACHUSETTS UNIFORM APPUCAT ON FOR PERM TO DO GAS FITTING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations
i/ QU 1^� C,i�V�.
�� � �= Owner's Name
New Renovation 0 Replacement
0,
Date
Plans Submitted 1
Date. . /1G�Q.I.......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
This certifies that ....
has permission for gas installation.. . . . `'t q. '-� ..... .. .
,in the buildings of ...lam v p. PL. t !�
at ...7 .. z cf .a .�• ..........North Andover, Mass.
Fee. 3. =. Lic. No..`,2-.Z-9 c. .... . , .
AS INSPECTOR
Check #
5401
Signature of Owner or Owner's Agent
Owner
Permit #
Amount
1
_
M
-
one: Certificate Installing Company
Corp.
Partner.
Firm/Co.
Ch on
Yes In No
ate bo
Bond
e coverage required by Chapter 142 of the
quirement.
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the ivlassachusetts Staff Cyodel and Chapter 142 of the General Laws.
tie
ty/Town
IA,PPR0VED,.0FFICE USE ONLY)
Signature of Licensed Plumber Or. Gas Fitter
Plumber J
Gas Fitter Licehse Number
Master
Journeyman
N ASSAaWSETIS UNNORNI APPUCATON FOR PERMIT TO DO GAS FTI'1'ING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Locations
'V af' Owner's Name
New ❑ Renovation ❑ Replacement
Date /L/
Plans Submitted ❑
Permit # S— 3 T
Amount .$ L �-
(Print or ty t
Name74 U ) &&&
usrness
Name of Licensed Plumber or Gas Fitter
one: Certificate Installing Company
Corp.
❑ Partner.
Frm/Co.
INSURANCE COVERAGE• , Check ne•
I have a current liability Insurance policy or it's substantial equivalent. Yes No❑
If you have checked Yes, plea4e irjdicate the type coverage by checking the appropriate bo
Liability insurance policy M Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installationserfo under Permit Issued for this application will be in
compliance with all pertinent provisions of the Iviassachuset J C de an hapter 142 of the General Laws.
�. Z Signature of Licensed Plumber Or Fitter
tie Plumber e'
ty/Town Gas Fitter tc rise Nurn er
Master
PPROVED (OFFICE USE ONLY) Journeyman
5TH.. FLO OR
(Print or ty t
Name74 U ) &&&
usrness
Name of Licensed Plumber or Gas Fitter
one: Certificate Installing Company
Corp.
❑ Partner.
Frm/Co.
INSURANCE COVERAGE• , Check ne•
I have a current liability Insurance policy or it's substantial equivalent. Yes No❑
If you have checked Yes, plea4e irjdicate the type coverage by checking the appropriate bo
Liability insurance policy M Other type of indemnity ❑ Bond ❑
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner ❑ Agent ❑
hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installationserfo under Permit Issued for this application will be in
compliance with all pertinent provisions of the Iviassachuset J C de an hapter 142 of the General Laws.
�. Z Signature of Licensed Plumber Or Fitter
tie Plumber e'
ty/Town Gas Fitter tc rise Nurn er
Master
PPROVED (OFFICE USE ONLY) Journeyman
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
rl —
f , Date
Building Location ✓9 YJ �r� Owners NameL4} �ermit" #
°✓" .:j ( lam: `' Type of Occupancy Amount
New Renovation Replacement Plans Submitted Yes No
FIYTT Tu IWQ
(Print or type) Check one: Certificate
Installing Company Name
❑Corp.
Address t
Partner.
Business lelephone Firm/Co.
Name of Licensed Plumber: �(4 J ) C0 L'1 t, )j) I
Insurance Coverage: Indicate rhe ype of insure ce coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond
El
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
Signature Owner ❑ Agent
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installation • erformed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusett St ng de and Chapter 142 of the General Laws.
By: [gi ur is e um e
Title Type of Plumbing License
City/Town LIcense um er Master Journeyman ❑
APPROVED (OFFICE [1SE ONLY
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Building Location/n ,� t� Owners Name
42 Tvve of Occu
New Renovation Replacement
VIYTITI2FQ
i
This certifies that ...(�— P !. .
I � � � 6`�`� 0
v�C� Date 1�% mit# G ?� l
Amount an .
Plans Submitted Yes ❑ No ❑
Z
a F
w
r
Date
i
E
OWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
I
�`... PX ......................
z
a
z
Z
W
a
w
a
o
w
has permission to perform ...... 4#0!� Y ........................
.. �%! 4.4. �'t .!�. �.� �.7 Zeck one: Certificate
plumbing in the buildings of .............. ,Corp.
at ... 1.0_13i !.f .A... G ( .......... , North Andover,. Mass. --�
Fee. 3�Lic. No.. ti:. .......hm
� `
Partner.
BING INSPE ;OR Firm/Co.
Check #
6757 box:
Bond ❑
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
Signature Owner F1 Agent 11
I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations 4'r o �d-under-Plerrrut Issued for this application will be in
compliance. with all pertinent provisions of the Mass achuse tts;�at l�mb// g Code and hap.ter 142 of the General Laws.
By: \.!
tgnat Te 01LiCengea VIUrnbuf
pe of Plumbing License
Title
City/Town icense i um er Master Journeyman ❑
APPROVED (OFFICE USEONLY