The URL can be used to link to this page

Home My WebLink AboutMiscellaneous - 104 AUTRAN AVENUE 4/30/2018N- 3761 Date . 7 .!�G�/. ?. all - TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ��/: �' ... � �? ...4-: X ........ has permission to perform ... 111,./.?........ ............ . plumbing in the buildings of �fi?�/7/4'c!u...... . at e � t/ .XII:.{/. - � -.. 1.191.......... , North Andover, Mass. Fee 3 < . '.. Lic. No. ,77 L. > . ............................. . PLUMBING INSPECTOR 07/16/98 08:43 15.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR E /d"• RMIT 1'0 DO PLUMBING (Print or Type) w�u� , Mass. Date ? 19 Qr� Permit # G —`� — Building Location /6 uf.�44/ Owner's Name_FP.G� Type of Occupancy_ by New ❑ Renovation ❑ Replacement FIXTURES Plans Submitted: Yes ❑ No ❑ 97 r^ 6P.7- - Je71,7- Installing Company NameM.AIC •00/0,,w /A PI� ,AQ JA G Address___ i�r✓ I A./ Business TelephoneG / 7..-i 73 ,� 4-7z Name of Licensed Plumber Check one:, Corporation O Partnership ❑ hm-1/Co. Certificate /;L 3 q INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. ` YO -S 19 No O If you have checked Yes, please indicate the type coverage by checking the appropriate box. A 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 b Chapter 142 of the Mass. General Laws, and that my signature on this y 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 knowledge and that all plumbing work and installations application are true and accurate to the best of my Pertinent provisions of the Massachusetts Stale Plumbi Code uChap ter permit of the General issued for Laws. tion will be in compliance with all By Title S+gnature censed Plumber Dty/Town Type of U nse: Master Journeyman ❑ >4 APPROVED (OFFICE USE ONLY) License Number_ %7 �' Y • 1 • ■ONE 0 Nor0rii��i��ii ■�e�i ■��ni0MENEM ��ii�i�■ -0 MEMO 0 No 0 wit 0 son on so dim ■�i��rnin�ii�ii��r■ ... ■r� ..Jim rrr� son was ■ inim■sonoRol Installing Company NameM.AIC •00/0,,w /A PI� ,AQ JA G Address___ i�r✓ I A./ Business TelephoneG / 7..-i 73 ,� 4-7z Name of Licensed Plumber Check one:, Corporation O Partnership ❑ hm-1/Co. Certificate /;L 3 q INSURANCE COVERAGE: I have a current liability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. ` YO -S 19 No O If you have checked Yes, please indicate the type coverage by checking the appropriate box. A 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 b Chapter 142 of the Mass. General Laws, and that my signature on this y 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 knowledge and that all plumbing work and installations application are true and accurate to the best of my Pertinent provisions of the Massachusetts Stale Plumbi Code uChap ter permit of the General issued for Laws. tion will be in compliance with all By Title S+gnature censed Plumber Dty/Town Type of U nse: Master Journeyman ❑ >4 APPROVED (OFFICE USE ONLY) License Number_ %7 �' (o z N cn (7 L' II N r 71 •v m v nr •'n U x �r o • w� ro x rn O :n --1 O U O 'V r c. UJ x Date. . , TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that ..!..��J�' has permission to perform . /L plumbing 'n,t�he b ildings of �....1. ..�d e9...... . at . /. .l& /% %L .;- . /.: 1 t MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ,,l � dayer' Mass. Date d Permit # / � t v Building Location /dOwner's Name Type of Occupancy RESIDENTIAL New ❑ Renovation ❑ Replacement rD Plans Submitted: Yes ❑ No ❑ EMERGENCY RENTAL WATER FIXTURES v�rmIMID nvnT Ar1VMT.'MM Installing Company Name WELCH BROTHERS CO. INC Check one: Certificate Address 14 8A TANNER ST n Corporation 1501—C LOWELL MA 01852 ❑ Partnership Business Telephone 9 7 8 4 5 3— 210 0 ❑ Firm/Co. Name of Licensed Plumber THOMAS F. CAREY INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes t No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy C -X 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: 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 performed yndepAbe permit issued tW this plication will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Cha 142 of the G99zzvr A Signature of umber Title Type of License: Master [2� Journeyman ❑ City/Town 8481 APPROVED OFFICE USE ONLY) License Number �ii�i�i�iiu�aiaiiiimxiii Installing Company Name WELCH BROTHERS CO. INC Check one: Certificate Address 14 8A TANNER ST n Corporation 1501—C LOWELL MA 01852 ❑ Partnership Business Telephone 9 7 8 4 5 3— 210 0 ❑ Firm/Co. Name of Licensed Plumber THOMAS F. CAREY INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes t No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. A liability insurance policy C -X 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: 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 performed yndepAbe permit issued tW this plication will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Cha 142 of the G99zzvr A Signature of umber Title Type of License: Master [2� Journeyman ❑ City/Town 8481 APPROVED OFFICE USE ONLY) License Number