HomeMy WebLinkAboutMiscellaneous - 14 EMERSON COURT 4/30/2018 1
f Date.14:.
c
HORTM
�'. '° •'tio TOWN OF NORTH ANDOVER
�� .�.r - '• o� 1.
40
PERMIT FOR PLUMBING
. 5
SSACMUS�
This certifies that . . . . . .
has permission to perform . ....j��,.!-�'. .T.!. . . . . . . . . . . . . . . . .
plumbing in the buildings of
,at . .j . � . . . . . . . . . . . . . . . . . . . . . .f..� . . . . ., North Andover, Mass.
Fee . . . . . .Lic. No-44,),5:3. . . . .. . .c.. . . . . . . . . .
t,r PLu M N INSPECTOR
Check ,, / l
7136
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Building Location G � -- // Chi /U�U' ,' (Q
/ASO Comets Name �/ Date.
#
Type of Occupancy Amount —2Ji
New Renovation ❑ Replacement plans Submitted Yes ❑
No
FIXTURES
Hz H
z w
° Cl)w a x wz a
zARBM
A a v
3 H
LST.FLOOR
M
4IH FIOOR
5M FLOOR
6116 FLOOR
7tx FLOOR
s>�-><FLocR
(Print or type) ZL.�5 Check one;
Installing Company Name ' Certificate
❑ Corp.
Address C 'r'C Partner.
usrness I e ep one
o.
Name of Licensed Plumber:
Insurance Coverage: Indicate the type of ensu an coverage bychecking the�appropririate box:
Liability insurance policy Other type of indemnity 0 Bond F
Insurance Waiver: I, the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner ❑ Agent ❑
I hereby certify that all of the details and information 1 have submitted(or entered)in a4ve application are true and accurate to the
best of my knowledge and that all plumbing work and installations �Plun
it Issued for sap 'ca[i n will be in
compliance with all pertinent provisions of the Massachusetts State and ate 4 f[ e ral Laws.
By' igna um Ot LICUSCU-1-lujilour
Title Type of Plumbing License
City/Town 2 5�09-L3
ense um er Master ❑ Journeyman
APPROVED("OFFICE USE ONLY
Date. . . .
",O P': �tio TOWN OF NORTH ANDOVER
PERMIT Fok PLUMBING
�SSCHUS
This certifies that . . . . . . . . . / . . . �!. ./. . . . . . . .
has permission to perform . � lC. ... . . . .
plumbing in the buildings of��1.,.c . .. .... ��. . . . . .
atNorth Andover, Mass.
Fee, Lic. No.% ! � . . .�{'� Az'
PLUMBING INSPECTOR
_ V
Check # t/
6382
MASSACHUSETTS UNIFO APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETTS
Date �' d
Building Locatio CLc Own s ame / Q Permit#��_
ecce-1 Amount
--
Type of Occupancy
New 0 Renovation 11 Replacement 54 Plans Submitted Yes No
FIXTURES
ro
S�BflNC II
1SlC)HIDCR
3�II)FLO(R
�FIDQt
4IIi PIO(R
5M HDM
6M HDM
M HOM
gm 110M
(Print or type) Check one: Certificate
Installing Company Name /G ? Corp.
Addr ss Partner.
S 0�R, a
` Business Telephone ,—<D/61 Firm/Co.
i Name of Licensed Plumber: /1��/(//� (tj,/LS o n
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy � Other type of indemnity Bond
Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature Owner Agent El
I hereby certify that all of the details and information I ubmitted(or entered)in above application are true and accurate to the
best of my knowledge and that all plumbing work install 'ons rformed under P 't Issued for this application will be in
compliance with all pertinent provisions of the sachuse s S Plu ng o d Chapter 142 of the General Laws.
By Signature of Licensea
Type of Plumbing License
Title 6 3
City/Town License um er Master Journeyman
APPROVED(OFFICE USE ONLY