HomeMy WebLinkAboutMiscellaneous - 137 BRIDGES LANE 4/30/2018 (3) 137 BRIDGES LANE
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N2 4816
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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This certifies that . . >��� ' �. �. 5. r. . .l. . . . . .. . . . . . . . . . • • • •
has permission to perform . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of .�`c . . . .� �. .' �!.` . . . . . . . . .
at. . . . . . .. . . . . . .. North Andover, Mass.
Fee,). . . . . .Lic. No..,T. 1l. . .
PLUMBING INSPECTOR
Check ,, 3 k
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Typo)
AMC Mass. Date / 01 Permit # / 6
Building Location rj,d C �Q/'j�Owner's Name v
373 �� Ch
Type of Occupancy Re.s- dentia
New ❑ Renovation ❑ Replacement Plans bmitted: Yes❑ No ❑
FIXTURES
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SUB—BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
l 3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company Name Heritage Htg. &Plg. CO. Inc. Check one: Certificate
Address '5 Pleasant Street [R Corporation 714
Stoneham, Ma 02180 n Partnership
Business Telephone 781 -438-7776— n Firm/Co. _
Name of Licensed Plumber Gordon Switzer
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,, please indicate the type coverage by checking the appropriate box.
A liability insurance policy i3 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 El Agent❑
Signature of Owner or Owner's Agent
1 hereby certify that all of the details and information 1 have submilied(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 provisions of the Massachusetts State Plumbing Code and Chapter 142 f the Gor)eral Laws.
By
SinWoTi, d 'I m ber 67
Title----
IType of License: Master(X Journeyman[]
City/Town License Numbor. 8322
WIRROVEIJT01 ICE S ONL )
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BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE_
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME 3 TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE -19
PLUMBING INSPECTOR