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HomeMy WebLinkAboutMiscellaneous - 148 MAIN STREET 4/30/2018 (8) 4 .4110 s u crTab® oversizedTab Folders 90%Larger Label Area S OMCAD P�ORQSTaR1�E W111ATIVE cnm.d�sour�o koro r rsuperTab. Oversized-Tab Folders 90%Larger Label Area iMEAD 5 M E A D KEEPING YOU ORGANIZED No.10301 PaNdPoWbe Mads in USA GET ORGANIZED AT SMEAD.COM mup wCUM mpm Date.4F:. . . .:cl'� T = 3794 { NOR71y TOWN OF NORTH ANDOVER Gt tt Sao �a,M0 , PERMIT FOR PLUMBING SSACMUS This certifies that -- . . . . . . . �, • ,k.•�/� has permission to perform . . . ..c. . . . . . . plumbing in the buildings of . . . . . . . . . . . . . , , , at. !.'��. �'" �- .'��5!!O, , , , , , , , . ., North Andover, Mass. Fee>8 %. . .Lie. Nlopp794>. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . PLUMBING INSPECTOR o9/21 X93 10:23 moo MID WHITE:Applicant CANARY: Building Dept. PINK:Treasurer i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) �,r �a. �iV11 .. -� , V .E Mass. Date -P-4-3 19 IS Permit# '• `� II 0 Building Location &191AJ 127- d /-//0 Owner's Name X121i011 /1,C'jlEC Type of Occupancy New ❑ Renovation ❑ Replacement ©— Plans Submitted Yes ❑ No [9-- FEATURES z z o W le Q U) Q U Q U) z W co C7 m OU W LU m U7 M > Q W Y 0= a O Q a Q X Cr W O W Q fjj < W F0 0 a: J Z a O OJ ll 'S O z = Y a FV_- < Q = ai can n Q p Q ¢ ¢ W ¢ O U = Y m m o o z F- cn u_ C7 ¢ ¢ m O SUB-BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR Installing Company Namemgr,/ ���, Check one: Certificate Address 1Cf S`��.��C�'—�'t�/j, S'r 1 10� C7 Corporation C U Partnership Busirtsss Telephone 7 �� '"'Q� / —/5(go y//�� - f Gym/Co. Name of Licensed Plumber_`-17— �iU� �OL 414 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch 142. Yes 2'--- No ❑ If you have checked yes, please indicate the type of coverage by checking the appropriate box. A liability insurance policy �- Other type of indemnity 1-1 Bond n OWNERS 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: Si nature of Owner or Owner's A ent Owner ❑ Agent ❑ 1 hereby 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 provisions of the Massachusett tate Plumbing Code and Chapter 142 of B the General Laws. igna ure o icense um er Title Tit !Town Type of License: Master e--- Journeyman ❑ City/Town License Number-7!t7/0 :9 RC6 APPROVED OFFICE USE ONLY)