HomeMy WebLinkAboutMiscellaneous - 120 GRANVILLE LANE 4/30/2018 (2) 6021 GRANVILLE LANE
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PERMIT FOR GAS INSTALLATION
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SACMUSEtA
e This certifies that . . . . .:' . .�. . . . . . . . . . . . . . . . . . . . .
has permission for.gas installation .°`'lov,. . . ...r�'° :�? G'
in the buildings of(:�. . . . . . . . . ... . . . . . . .... . . . . . . . . . . . . .
at A% k� - 't ! . . . , North Andover, Mass.
317
Fee. .. . . . . . . Lic. No.. . /. .` . . . . . . . . . . . . . . . . . .
Q GAS, IN PECTOR
Check#
5430
MASS APPROVAL #
MASSACHUSETTS UNIFORM APPLICATION OR PERMR GASFITTING
(Ptird or Type! ,
4 • jL/�0!/ � ,Mass. [ ate
/ X13 J Permit�t
n( eupolnp location`o� A�Ut�/� Owr>c:'s Name
S
Type of txctrpaneyS•%/J /T�l'/G
New p Rena W. Q/ Replacemerd Q Plants Submitted: Yes❑ No Q'
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W O M X
W Y a.
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QAElM£NT
�sT FLooa
IND FLOOR
SRO FLOOR •_..
ATM FLOOR TA I
STM FLOOR
STN FLOOR
- TTK FLOOR
`TN FLOOR'
Instilling Company Name YANKEE GAS - Chec.korie: .i. Certificate
Address 140 SOUTH. MAM STREET !$ Corporation 103C
MIDDLETON, MA 01949 [. Partnership
6usiness Telephone 978-774=2760 "` C Firm/Co.
Name Of Licensed Plumber Or•Gas Fitter WILLIAM R. HARRIS
INSURANCE COVERAGE:
1 have a current liability Insurance policy or its substantial equivalent which me-es the requirements of MGL Ch. 142
Yes IN No O
It you have.checkedyS;, please indicate the type coverage by checking the appropriate box
A liability Insurance policy G Other type of indemnity O Bond O
OWNER'S INSURANCE WAIVER:I am aware that the licensee does nct have the Insurance coverage required by
Chapter 142 of the Mass. General Laws, and that my signature on this pemtit application.waives this requirement.
Check one:
Owner'j— Agent Q
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information 1 have submitted(or entered)in above aVAcation at We and accurate to best of my
•knowledge and that all plumbing work and installations performed under the pemit issued for this With all
pertinent provisions of the M=aehusetts State Gas Code and Chapter 142 of the asriiaal taws
gY TjGasfi
of License:
Plumber - gnatu a ffWW or mer
Tike tter
Baster. license Number 3785
OtyRovvn Journeyman ,
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING
(Print or Type)
NORTH ANDOVER Mass. Date o2
1' building Locationfo2� a.,, t�t� L � Permit jam/
Owners Name4,tGg �(>l
New Renovation Replacement Plans Submitted r]
FIXTUR=1
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SUR—BSP.IT.
BASEMENT
1ST FLOOR
2ND FLOOR
G1
31111 FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
(Print or Type) Check one: Certificate
Installing Company Name '
Corp.
Address 0, i?ox & Y0 4 1 f tD Partner.
,J E irm/Co.
Business Telephone:
Name of Licensed Plumber or Gas Fitter
::Y' ��
Insurance Coverage: Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy D�ther type of indemnity Q Bond E,
Insurance Waiver: 1 , 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 11 Agent F1
1 hereby certify that all of the details and information 1 have submitted (or entered)in above application are true and accurate to the best of my
knowledge and that all plumbing work and installations petformcd under'Permit isseed for this application will_tx in compliance with ali pertinent
provisions of tho Massachusetts State Cas Code and chapter 142 of tho Genual Laws. g.
By
TYPE LICENSE:
—
- � er
Title sfitter- Signature of Licensed
City/Town:
er Plumber or Gasfitter
Journeyman o2�
APPROVED (OFFICE USE ONLY1 License Number
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES PROGRESS INSPECTION
FEE
NO.
APPLICATION FOR PERMIT TO DO GASFITTING
NAME& TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER OR GASFITTER
LIC. NO.
PERMIT GRANTED
DATE 19
1
r
e
GAS INSPECTOR ,,,-
COMMONWEALTH OF MASSACHUSETT
COMMONWEALTH OF MASSACHUSETT I
' LICENS SFITTE
LICEN UMBER_ IN PLUMBERS AND GASFITTERS ; }
IN PLUMBERS AND GASFITTERS
ISSUES THIS LICENSE TO
ISSUES THIS LICENSE TO
KENNETH D PARK KENNETH D PARK
c
8 89 KENDALL POND RD
9 KENDALL POND RD
WINDHAM NH .03087-1422
WINDHAM NH 03087-1422,
9273 05/01/94 179277 3522 05/01/94 179279
• Date.. . ... . ... .. . ... . ....
NORTH TOWN OF NORTH ANDOVER
03� `p PERMIT FOR GAS INSTALLATION
si r
�,SSACHUSEt
i
This certifies that . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
has permission for gas installation . :. . : . . .... . . . . . . . . . . . . . . ... . . .
in the buildings of . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at . .. . . . . . . . . . . . . . . . . : . . . . . . . . . . . . North Andover, Mass.
Feel. . . . .? . . Lic. No.. . . .,--.> . . . . . . . . . . . . . . . . . . . . . ..r:. . . .
12/03/93 12;4612...50 PAID GASINSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File