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Home My WebLink AboutMiscellaneous - 129 MOODY STREET 4/30/2018 129 MOODY STREET 210/080.0000.0 J I Date.�� 894 �.� ".0RT:A�o TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING ,sSACHUS� This certifies that ✓/� . . . . ��!! ��tx�. . . r;�:I/.f. Cit. . . . has permission to perform . . . . �. plumbing in the buildings of . . . . . tio . . . . . . . . . . . . . . . . . . . at . . . . .� .-�. . . ./ a��R� • • • 5� . • • • • • • ., North Andover/,AMass. FK .5 0. .Lic. No.F. . r- . . . . . . .%�%F ' . PLUMBING INSPECTOR Check " � D MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING CityJTown:\"1,ftA'" Nn �aNi k,`r ,MA. Date• *A \\ Permit# Building Location:V? '�'11 ` ' ' 0 0�-4 4Sk Owners Name.,4MgAc lJ`s h za, ,j Type of Occupancy: Commercial❑ Educational❑ industrial❑ Institutional❑ Residential New:❑ Alteration: ❑ Renovation:❑ Replacement: ® Plans Submitted: Yes❑ No cz)o qzk FIXTURES z z O Y rn v rn ra > z } Q Q N 0 Ir Z a W z H Y m Z_ Z F rn Z '" .30 m U) a� a F } Z vNi t9 v a ac i U. Q W O Z O a Lu W m a. Q Q N U)IL Q O F' . O = Q aY Q Q Q o ca = Y g m m 0 _ sue BSMT. BASEMENT 1 FLOOR eu FLOOR 3w FLOOR ..;.=-FLOOR ... _... .. .... . ..... ...: 5 FLOOR 6 FLOOR T FLOOR 8 FLOOR Check One Only Certificate# Installing Company Name�-E M �`a`rn��nG �il rVuQ� ht~ ®Corporation Address.\\1:�F.S\yT"; 'o" Q t\ CitylTown:�,%%n c a`Y1 State: ❑Partnership BusinessTel:'4��\ 6%`N t�sli1 Fax: ❑FirmlCompany Name of Licensed Plumber. —'v-g,c� Q.r�C1< \C'�) INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 Yes No❑ If you have checked Yes,please indicate the type of coverage by checking the appropriate box below. A liability insurance policy E� 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 Massachusetts General Laws,and that my signature on this permit application waives this requirement Check One Only Owner ❑ Agent ❑ Signature of Owner or Owner's Agent I hereby certify that all of the details and information i have submitted(or entered)regarding this 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 provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By Type of License: Title- ❑Plumber Signature of Licensed Plumber Cityrrown ❑Master License Number: tn APPROVED OFFICE USE ONLY) []journeyman O �;, i ., Sr..s ,3,9vt�1ff.-. } gt:�i,l.,!: � EiK'.� _„'J' �. .,, _.., .,..'.. t.. ..._.,.._.... _<. . ^�i•tF'jibw't'�7t:.� �,��4f��! 1 R •�, 4 .'�t�,'�d, 3 ._< .r w 1 {ir ..'Y:,•?. i�rii'i}::,i l.� 1 , ioV a , ? — 3 % , Z � r� r b�+3•i , �� o . ! :,sir �' K� .. ,,_. :d. .. ,: ,'Xro"}ai:�l.. '3 -t .. _ .'., 'd,' ..%:1k% i/!'�;F�;.'. _ ._ .X:.: a+ ,�if.Pv;,;� t,t- c�•,r1� i I.r}'�C�,:^, h..,. -~_`r.. ;':.. b',1: �;+,"'�'7:F•'} r., t r,'�, .'�i'•:?s : 't'. "! `_ , ... i'1� ., .. ...+= ,tri: .,.:....__..._.-..-_.......—._. .-... ... ... ...- , --Y,9 @n; irn i l..;i:p,..,. ,t:+;' „ „ !• 1 ,..t<' s:],. .... ,. ,, f.r+a br,.:�} .i!I i.i�;ryri(i,;,t jgtla�trTi�': .. .I,,r:� 'St ti z ;i. st f ,.li i , i .?'x�:,., I,%.. .,.. :�d'. ,. ., i- ;•It' ! ,. 'f4'`".'. �q,'1.': .:5;'�t'JS'6".%��2'J'} tt."..4: .8c1._ A i'. .:�i ,it %i.;•<ti', I , r i '+..��r4•.7? �!. s!l'r iia :t^ Date. TOWN OF NORTH ANDOVER p PERMIT FOR PLUMBING/ • o� _ a •� SSACMUS� y y This certifies that . . . . . . 7.�. . . . . . . . . . . .` . . . . . . . . . . . . . . . . -D has permission to perform . . . . . . . . u'.�. . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . .'16 c{v, L at . .P. `. ��'. c� . . . . . . . . orth Andover, Mass. Fee. Lic. No.. /3�.7. . . . . . . . . . . .` : . . . . . �P�LUMB'ING INSPE OR Check # / V U 82U / MASSAGHUSET I NIFt3RM APPLICATION FOR PERMIT TO DO PLUMBING CitylTown- d ,MA. Da : Pe it# timers Nath Building Location:- Type of Occupancy: Comine''cial E] Educational❑ Industrial Institubonal Residential New:❑ Alteration:❑ Rdhovation:F1Replacement: Plants Submitted: Yes❑ No❑ . FIXTURES - = z Z Q Cl) T fr- ul r Q W 0 � �n z D IL Z I- fl f- � to Q a.a. u1 FJ 4 '� CO LL. CL LL. .01 0 Q1 Q Z to4 to Q t- 0� tm< C = 1 1 SUB ABI t i { i t � i , � ; F FLOOR •.2 FLOOR I FLOOR 4. FLOOR 5 FLOOR 6 FLOOR7 FLOOR I { j a FLOORI Check One Only Certificate# Installing ComPanY Name: 0 Corporation Address: Partnership �d J�.�� 0 l � Business Tel: :max:� / Company Name of Licensed Plumber: INSURANCE COVERAGE: f have a current liabili insurance policy or its s stantiat equivalent.which meets the requirements of itt7Gl- Ch.i42 Yes tea if you have checked Yes,please indicate the type if coverage by checking the appropriate box below. A liability insurance Policy. Eater type of indemnity 0 Bond OWNEWS INSURANCE WAIVER:I am aware that*te licensee does n t have the insurance coverage required by Chapter 142 of the Massachusetts General Laws,and that my signat&re on this permit application waives this requirement Check One Only Owner �] Agent [� Si nature of owner or owner's Agent I hereby certify that alt of the details and information I have submitted(or entered)regarding this application are true and accurate to e bast of my th Knowledge and that all plumbing work and instaifatlon9 rfor ned under the permit issued for this application will be in compilan with all Pertinent provision of the Massachusetts State plumWr�code and 442 ofthe General f�^ws. Type of Licnse: Byre of Licensed P um r Title ©p1wribet �t.�(✓ sir _ License Number: Cityfrawn ©.lourtsey7asf APPROVED OFFICE USE ONLY)