HomeMy WebLinkAboutMiscellaneous - 176 MARBLEHEAD STREET 4/30/2018Date ........
,O R T ly
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o� ` TOWN OF NORTH ANDOVER
• PERMIT FOR GAS INSTALL/ ION
.,
9SSACHUSEt /
This certifies that ...d..Je"'..� A ... V ..............
has permission for gas installation . t—,k. ....................
in the buildings of ..�j. ,�:� Vit. .............................
at .. s .. !.r,!� 4 f. f.� �f. ........ North Andover, Mass.
Fee..?
GAS INSPECTOR
Check # �- iy
0
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
Mass. DateTi 2007 Permit#
Building Location 13Owner's Name�C-e
Owner's Tel # ZZ 9 &3-3 d 0- 3/,:::> Type of Occupency 7-5
New M Renovation E] Replacement la Plan Submitted: Yes El No
Installing Company Name Addario's Plumbing & H2ating 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:
I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 0 No M
If you have checked fomes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy 0 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 F-1 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 accu ate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will b mpli a .6 all perti
provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
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
•
Installing Company Name Addario's Plumbing & H2ating 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:
I have a current liability policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes 0 No M
If you have checked fomes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy 0 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 F-1 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 accu ate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will b mpli a .6 all perti
provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws.
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
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Location
+X No. Date
NORTH
TOWN OF NORTH ANDOVER
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Certificate of Occupancy $
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Building/Frame Permit Fee $
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Foundation Permit Fee $
Other Permit Fee
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Sewer Connection Fee $
Water Connection Fee $
TOTAL $
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48.00 PAID
Div. Public Works
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Location
No.
Date
HGRTp TOWN OF NORTH ANDOVER
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A Certificate of Occupancy $
Buiidin /Frame Permit Fee $
�'�S''•° '��' Foundation Permit Fee $
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Other Perrhit,Fee $
Sewer Connection Fee $
Water Connection Fee $
TOTAL $
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DEPARTMENT OF PUBLIC SAFETY
ISTRUCTION SUPERVISW LICENSE
sbEr: Ex es:o Birthdate:
021298 05i 1-12000 0Sf21/1945
Restricted To: 00
JOSEPH P BRADISH '
PO BOX 448(9 MOLVON DR.
E HAMPSTEAD, NH 03826
HOME IMPROVEMENT CONTRACTOR
Registration 102097
Type - INDIVIDUAL
_ Expiration 06/30/00
JOSEPH P. BRADISH, JR
_ 9 Moulton Drive/ Box 448
Aampstead NH 03826
AD INIM STRATOR