HomeMy WebLinkAboutMiscellaneous - 123 BEAR HILL ROAD 4/30/2018 AR HILL ROAD7aI2313E
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G`4,o oT: TOWN OF NORT_.:,'AN O ER
PERMILFOR PLUMBING
-TA MUMU
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�; This certifies that . ".q.
� .� . .. . . .`. . . . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . . /.` .. . . . . . . . . . . . . . .
plumbing in the buildings of . . . �'�' 9.``. . . . . . . . . . . . . . . .
at . . . ./ .3. . .�n-l.n Ar. .t. . . . . . . . . . .. North Andover, Mass.
Fee. . O. . .. No.. . �. . . . . . . . . . . . . . - . . .�. . . . ,
PLUMBING INSPE
Check #
7866
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
s (Print or Type)
—, Mass. Date 2008 Permit# (s_�
Building Location Ja c h, (( R� Owner's Name 1,e �U the
Owner's Tel# X1785- 79.1 "CJL18 y Type of Occupency
New M Renovation M Replacement EK Plan Submitted: Yes No
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SUB-BSMT
BASEMENT
1 st FLOOR-
2nd FLOOR
$, 3rd FLOOR
• 4th FLOOR
5th FLOOR
6th FLOOR
7th FLOOR
8th FLOOR
Installing Company Name Addario's Plumbing&Heating LLC. Check one : Certificate
Address 20 Cooper Street x Corporation 2720
Lynn, MA. 01905 Partnership
Business Telephone 339-440-8100 Firm/Co.
Name of Licensed Plumber or Gas Fitter Steven J.Addario Jr.
insurance Coverage
have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch.142.
Yes ❑x No ❑
If you have checked yes, please indicate the type Coverage by checking the appropriate box.
A liability insurance policy ❑x Other type of indemnity M 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
Signature of Owner or Owner's Agent
I hearby 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 the permit issued for this application will be in compliance with all pertinent rovisions of the Massachusetts State Gas
Code and Chapter 142 of the General Laws, lr��
By Type of License:
Title x Plumber
City/Town Gasfitter Signature of Licensed Plumber or Gas Fitter
Approved(OFFICE USE ONLY) x Master
Journeyman License Number 13106
BELOW FOR OFFICE USE ONLY
PROGRESS INSPECTIONS
FINAL INSPECTIONS SKETCHES
FEE NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME&TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE ,2008
PLUMBING INSPECTOR