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TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
e 7 1993
This certifies that ...........................................
has permission for gas installation .. ......................... .
s -
in the buildings of ..........................................
at .... ............................ . North Andover, Mass,
Fee... Lic. No........... ..........................
GAS INSPECTOR
WHITE: Applicant CANARY: Building Ddpt. PINK: Treasurer GOLD: File
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTING
(Print or Type)
C NORTH ANDOVER Mass. Date 4& 1— ? f3 s�
4uilding Location I �O6 c 41 L -M S, Permit #
Owners. Name , ,f
• New '-7' Renovation D Replacement W Plans Submitted
FIXTl1RFS
01
(Print or Type)
Installing Company Name �jjoptµS T �r�swo�tT/�
Address ?3 G/Ee/ it1Fl�s„� kh�tD
S RAD RXb Mi4 QJY3-S
Check one: Certificate
Q Corp.
Partner.
Firm/Co.
Business Telephone: SaT-
372 - ay?S
Name of Licensed Plumber
or Gas Fitter
-1-%a-w,-S-
--1-%a-w,4-S-
40
4
Insurance Coverage: Indicate
the type
of insurance coverage by checking the
appropriate box:
Liability insurance policy
E�Kother type of indemnity Q 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
coverages.
Signature of owner/agent
of property
Owner 0 Agent
E
WIN
MIN
0
i
::-�iii�ui
iiiii�iii■iii
(Print or Type)
Installing Company Name �jjoptµS T �r�swo�tT/�
Address ?3 G/Ee/ it1Fl�s„� kh�tD
S RAD RXb Mi4 QJY3-S
Check one: Certificate
Q Corp.
Partner.
Firm/Co.
Business Telephone: SaT-
372 - ay?S
Name of Licensed Plumber
or Gas Fitter
-1-%a-w,-S-
--1-%a-w,4-S-
40
4
Insurance Coverage: Indicate
the type
of insurance coverage by checking the
appropriate box:
Liability insurance policy
E�Kother type of indemnity Q 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
coverages.
Signature of owner/agent
of property
Owner 0 Agent
E
1 hereby certify that all of the dcuils 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 Permit issued for this application wW-be in compliance with all pertinent
provisions of the Massachusetts State Cas Code and Chapter 142 of the General Laws. • •.
�By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE:
Plumber
Gasfitter Sign ure of Licensed
Master Plumber or Gasfitter
Journeyman 2
License. Number
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
N' bvj(C
V
I 'IiI`� •�:
-------- Mass. I),rt( --3 �,Y]/..
Building Location �_��rp_.��lL(._&<rr
111.E --- -----
New Renovation I•-i� Replac:(tment 1_-I
1(1% Permit #
Owner's Nanu'v(1/34^/EA//�F07-
i'Yl)e of OccuF)ancy--j& 4ea4 L
FIXTURES
Plans Submitted: Yes i;a—No L
Installing Company Name�"��S /yL��S��y2Check one: certificate
Address �� ®frGG7`� �`�_—_ ❑ Corporation
X/A11-ram _ i✓�f _03 0 77 _
•-?- ---------------------- Cl Pa�tnersltip
BLisiness Telephone ,��y�
Name of Licensed Plumber `.�� 110,/
-
INSURANCE COVERAGE
have a current liability incur nee policy or its subst.inlial equivalent which meets the requirement:: of MGL Ch, 142.
Yes Fl No
I( you have checked yes, pL ase indicate the tyle' coves},c by chc(kiul; the nppioprialc box.
A liability insuran(c policy I I (Ther type Irl indenmity I i Bond I I
OWNER'S INSURANCE WAIVER: I ani awar(• th.tl IIIc' li( co'cc does nut have Ihr hu;ul;ince coverage required by chapter 1.12 of the Mass.
Gen�r.vs, ali that-) s' a re on this pcnnil ap i(,rtinn ev:tiv(�; Ibis rcquirctnc-nt. ---
Ch k on.•.
Owner Agent Agent 17
5iynalurr ( �O\vncr or (Avncr's Agont
1 h!•n•hr I :alil.
1h,11,111 nl Ihr r49,Ii1•, and inlnnneli(n. III tiuhu:;w•,I p,I :,nb....:b .!h' .Ik." ,gglhi .itinn ,uI, uu�• .url m I walr In Ihr 6rtit ul m,• Lnuwlorl,:r •Ind Ih,i! ,ill Idumbinti ��rnl
•Ind in�l.dl.ilinn. la dennrd nndrr Ihr lu•nnil iv.urd Inr Ihic dpPli, •,n•�n will In• in u.nil �li.in, r •.�Id, •ill ,•IIInr
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t
3rd FLOOR
4th FLOOR
5th FLOOR
61h FLOOR
7th FLOOR
8th FLOOR
Installing Company Name�"��S /yL��S��y2Check one: certificate
Address �� ®frGG7`� �`�_—_ ❑ Corporation
X/A11-ram _ i✓�f _03 0 77 _
•-?- ---------------------- Cl Pa�tnersltip
BLisiness Telephone ,��y�
Name of Licensed Plumber `.�� 110,/
-
INSURANCE COVERAGE
have a current liability incur nee policy or its subst.inlial equivalent which meets the requirement:: of MGL Ch, 142.
Yes Fl No
I( you have checked yes, pL ase indicate the tyle' coves},c by chc(kiul; the nppioprialc box.
A liability insuran(c policy I I (Ther type Irl indenmity I i Bond I I
OWNER'S INSURANCE WAIVER: I ani awar(• th.tl IIIc' li( co'cc does nut have Ihr hu;ul;ince coverage required by chapter 1.12 of the Mass.
Gen�r.vs, ali that-) s' a re on this pcnnil ap i(,rtinn ev:tiv(�; Ibis rcquirctnc-nt. ---
Ch k on.•.
Owner Agent Agent 17
5iynalurr ( �O\vncr or (Avncr's Agont
1 h!•n•hr I :alil.
1h,11,111 nl Ihr r49,Ii1•, and inlnnneli(n. III tiuhu:;w•,I p,I :,nb....:b .!h' .Ik." ,gglhi .itinn ,uI, uu�• .url m I walr In Ihr 6rtit ul m,• Lnuwlorl,:r •Ind Ih,i! ,ill Idumbinti ��rnl
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nl (IIr
V M 1�7/:•jL..0 hu•.rll•. ti!,rl If 11,I-
fly
hr11y I'Inn,I-,
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(d,'/lure _ .._ I I,.•u„• Llnn;l,;.: o?03SZ .
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3229
HORTN
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SSACHU`��
Date•�.�/
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .41, 0.4f 10.9. S... //A�.�.I LA -.Ott .� : .........
has permission to perform .RZ /. . u.-" ...............
plumbing in the buildings of ..�o � .... tv.ev./-.4 .......
at. �' U(.. Siq��. ei- ... 7� ......... orth Andover, Mass.
Fee..)'. ?I .... Lic. No ).Q 7 �..Z
PLUMBING I SPECTOR
03/25/97 10:18 35.00 PAID
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
��cation , ' •� �` 7! i
No. Date
?%ORTM TOWN OF NORTH ANDOVER
p Certificate of Occupancy
$
'� ` J
Building/Frame Permit Fee
$
s•
'SSACHUSEt PAYl dation Permit Fee
$
*0 Other Permit Fee
$
%Qv j 3 0 Sewer Connection Fee
$
VU2ter Connection Fee
A�d4V@r CON e
$
±r�
«Q. TOTAL
$
W :�D..
Building Inspector
Div. Public Works
Location
11561
9
Date
NORT1r TOWN OF NORTH ANDOVER
w.. , •a OL
p Certificate of Occupancy $
Bj�jIding/Frame Permit Fee $
oundation Permit Fee $ �'
Other Permit Fee
Sewer Connection Fee
SE 'doter Connection Fee
No P�ao�e� TOTAL
Building Inspector
Div. Public Works
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FORM U - LOT RELEASE FORM
INSTRUCTIONS: This form is used to verify that all necessary
approvals/permits from Boards and Departments having jurisdiction
have been obtained. This does not relieve the applicant and/or
landowner from compliance with any applicable local or state law,
regulations or requirements.
****************Applicant
fills
out this
section*****************
APPLICANT: ALIT L.Le*Zd
�
461/
Y5;A
--/- Phone (a 99 —20(,&
LOCATION:
Subdivision
Street
Assessor's Map Number /0(allo/-/ Parcel
Lots)
St. Number /&906
************************Official Use Only************************
RECOMMENDATIONS OF TOWN AGENTS:
:!7�: W (�-ff
Conservation Administrator
Comments
To n Pla
Comments
c�'7Z'-1, iq--)
Health Agent
Comments
Date Approved
Date Rejected
Date Approved•��-
Date Rejected
Date Approved
Date Rejected
Public Works - sewer/water connections
- driveway permit
Fire Department
�e��st� �C/n-�� •!
Received by Building Inspector
Date
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CERTIFICATE OF USE & OCCUPANCY
Town of North Andover
Building Permit Number 419 (1 992) Date FF.RRIJARY 3, 1994
THIS CERTIFIES THAT
THE BUILDING LOCATED ON 1806 SALEM STREET
MAY BE OCCUPIED AS IN-LAW APARTMENT ACCORDING TO IN ACCORDANCE
DRAWINGS
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO
Rnht_ R, Flizebeth Bonenfant
1806 Salem ST.
ADDRESS ^ d nx7a r MA
Building Inspector
13
1 47
essi ZION
x'_39 �' • � 3 ' - 3a '�'
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