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Home My WebLink AboutMiscellaneous - 285 MIDDLESEX STREET 4/30/2018a 7 7 m I& ,?. 0 - 0 //.q .6 -,/ um I M UMPLP.Km AFFUCATION FOR PERMff TO DO PLUMBING ftt or TyW tum Date_:�///3 iq &- poll sumv Owner's Type of Occlvsw--Z� NM 0 0 ReOmmat ED/ Pkm Stftnfted: Yes 0 No 0 e 7e,7 � �- FD(TURES ---7f- 1 AA "". ep &Uwlelm Tdadums Af 111 - #-*!I, - If0iffle Nam of UmjW MWAM OJIAO?�- I Jv 13 nwco. C&Vk:lft a /" ir. INMRMCE 91 4M I hm a Or b SIAMNOM oqwvdwt wtdd mosts Vo foqukwrwb of MCIL CIL 142 =ffiC:: MEM10 YOU N you he" docked Ma Pl0aft Mk*e the Mm C c, by ddft Me -PW-pM. b., A NMIlly kwAsnce pcil�.y v Other b" Of indemnNy E3 BMW 0 OWNER'S INSURANCE WAIVER: I arn Ems OW the kerisee 990 not b" the Irmurance covemge requkW by ChOW 142 Of do MuL Gerorm Lff.-k end OW my mWahme an #6 pemit aWfttion walm aft rg**wront 0ock one: of Owner 0 A"t 0 MPndM OiM OWMr'lk AfiMd lbvftoW*#Mdo(th*d*fAbw4kftm@ftjhm 1, Rts .&-- . and that al wftq work mW kWdaftu 8u (or anterem in 4ppocaum am Um W accurate to the bed of nry 1110d under the Pwn* bsued Vft appkation MA be in cornpk&nce with 8M PMVWON of A mu"Wamb State Am6irig Owle and Ctiapter 142 of ttle *v Law#. Watuie Of Ummd rkxybk— CRY/town TWO of Umm: Mader J=nrAm 13 KWFICE USE OUT— Ucense momme z z 0 m z z ad Z 0 &Is C 30- 0 44 0 z z 0 z cc 0 0 fi. C. 10 — z — z CC x W a 49 0 W Ze 0 al z 4C x x 0 U. z a C a I- J 4C — x 44 IL .4 16 x C W < 44 Z C z 0 BA89MENT I I A IST FLOOR 2"D FLOOR 3RD FLOOR 4TH FLOOR 6TH FLOOR GTH FLOOR TTH FLOOR STKFLOOR 0 .Mm� � I I &Uwlelm Tdadums Af 111 - #-*!I, - If0iffle Nam of UmjW MWAM OJIAO?�- I Jv 13 nwco. C&Vk:lft a /" ir. INMRMCE 91 4M I hm a Or b SIAMNOM oqwvdwt wtdd mosts Vo foqukwrwb of MCIL CIL 142 =ffiC:: MEM10 YOU N you he" docked Ma Pl0aft Mk*e the Mm C c, by ddft Me -PW-pM. b., A NMIlly kwAsnce pcil�.y v Other b" Of indemnNy E3 BMW 0 OWNER'S INSURANCE WAIVER: I arn Ems OW the kerisee 990 not b" the Irmurance covemge requkW by ChOW 142 Of do MuL Gerorm Lff.-k end OW my mWahme an #6 pemit aWfttion walm aft rg**wront 0ock one: of Owner 0 A"t 0 MPndM OiM OWMr'lk AfiMd lbvftoW*#Mdo(th*d*fAbw4kftm@ftjhm 1, Rts .&-- . and that al wftq work mW kWdaftu 8u (or anterem in 4ppocaum am Um W accurate to the bed of nry 1110d under the Pwn* bsued Vft appkation MA be in cornpk&nce with 8M PMVWON of A mu"Wamb State Am6irig Owle and Ctiapter 142 of ttle *v Law#. Watuie Of Ummd rkxybk— CRY/town TWO of Umm: Mader J=nrAm 13 KWFICE USE OUT— Ucense momme IL z 19 0 0 ILI OW IL z a 0 z 0 z 0 lu z z 44 cc J L6 IL 0 C; UA r* z IL 0 19 a 0 IL 0 z 96 0 0 P z 0 la i: w w 9L x w IL 0 J j ILI z 2605 Date TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that /.,: ........................... has permission to perform ... Or. �� ............................ plumbing in the buildings of j0f.4. .................. at. .2. �. 5 —. 1-t-1. (,<' C, /,-. �. ........ North Ankyer, Mass. Fee. J Lic. No.. '7 .IUMBING INSPE'C*T*O*R 11/20/95 11:21 15- 00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File X' - M 5 - 0. .4 4ee" el MASSACHUSE I I UNIFORM APPUCATION FOR PERMIT TO DO GASFITTING 9-111mor Type) A1,0,e,-ZX AAWa le le Mass. �1 9 9S- Permit Building Locatlon_gZS_-.4�/ �lf-r�-Ae�I.Owners Name -q"A-,dz �,) , ,,/ 57//z v c./V/? e- I Type d OccuPancy-244k— New 0 Rermation 0 Replacement 0 Plans Submitted: Yeso Np [] e-Q'r.1- -7&--e--A --61- �r)w PM 1"d NONE 0 ENNEENEEMM Installing Company Name //&- /— —' -z A Check one: Certificate Address '3 �3 5'7'. WA -1, /6,t-1 4!� Er Corporation Z6 r, 14 Business Telephone L� / -1 - - c?;j AZ Name of Ucensed Plumber or Gas Fitter ,, ae�' 0 Partnership 0 Firm/Co. , A--'-473 INSURANCE COVERAGE: I have a curreViability insurance policy or Its substantial equivalent which meets the requirements of MGL Ch. 142. Yes 10 No 11 If you have checked Yes, please Indicate the type coverage by checking the appropriate box A Ilablifty Insurance policy G?/ Other type of Indemnity 0 Bond 0 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: OwnerO Agent El Signature of Owner or Owner's Agent I 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 knoMedge'and that all plumbing work and installatiorts performed under the permit issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. Tvoe of Ucense: ;i;� TrUe Plumber Signature of Licensed Humber or Uas Mer I Gasfitter ter License Number 12�t' Journeyman 0 P 0 w IL 41) w 0 w w SL 9) ul z 0 -ail &L W 0 a 0 w 0 0 u - -1 .j 4L a w I - z cc w cr 0 A IL Cf) Date. 11, 10- 082 ,,ORTk TOWN OF NORTH ANDOVER 0 PERMIT FOR GAS INSTALLATION CHU This certifies that ................... has permission for gas installation . . Lk. .................. in the buildings of . . . . . . . . . . . . . . . . . . . . . at ......... North Andover, Mass. FeeA? ...... Lic. No.f�? J PAID................ ASINSPECTOR WHI.TE: Applicant. CANARY: Building Dept. PINK: Treasurer GOLD: File MAS!�ACHUSETTS UNIFORM APPLICATION FOR PERMIT TO 00 GASFITTIN'G (Print or Type) NORTH ANDOVER Mass. Date kuilding Location Permit # Owners Name -�Plans Submitted New Renovation Replacement F01 0 F I X T U'0 FS (Print or Type) I Check one: Certificate Installing Company Name Corp- Address- sg Partner. L5 Firm/Co. Business Telephone Name of Licensed Plumber or Gas Fitter Insurance Coverag-: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E2"*'Other type of indemnity F --j Bond Ej Insurance Waiver: 1, 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 17 Agent M I hctcby certify that all of the details and informiktion I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that 211 plumbing work and installations pciforrue d under'I"eirmit issued for this application wiLl-be in compliance with &U p=tLn=t provisions of tho Massachusetts Slate Gas Code and CiApter 142 of OW General lAwL P LICENSE: By P ��'er Title 'S f itter- Signal5ure of Licensed j�14aster Pl�um�e or Gasfitter �City/Town: ourneyman APPROVED (OFFiCE USE ONLY) Liceft!�e Number CC tr 0 :2 us 92 0 0 0 0 Z W us 0 0 a 0 uj W z 0 = W > &- us C: W z 07 0: Z W .J J P 1-d z = W US 0 > tL 0 - W -4 0 -C4 tu > Cz 010 W 5 o W 0 > SUa—BSMT. IRASEMEMT IST LOOR 2ND FLOOR 3RD FLOOR 4TR FLOOR STHFLOOR 6TH FLOOR 7TH FLOOR 8TH FLOOR (Print or Type) I Check one: Certificate Installing Company Name Corp- Address- sg Partner. L5 Firm/Co. Business Telephone Name of Licensed Plumber or Gas Fitter Insurance Coverag-: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy E2"*'Other type of indemnity F --j Bond Ej Insurance Waiver: 1, 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 17 Agent M I hctcby certify that all of the details and informiktion I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that 211 plumbing work and installations pciforrue d under'I"eirmit issued for this application wiLl-be in compliance with &U p=tLn=t provisions of tho Massachusetts Slate Gas Code and CiApter 142 of OW General lAwL P LICENSE: By P ��'er Title 'S f itter- Signal5ure of Licensed j�14aster Pl�um�e or Gasfitter �City/Town: ourneyman APPROVED (OFFiCE USE ONLY) Liceft!�e Number 1897 Date... I ................... ,AORTN TOWN OF NORTH ANDOVER CU 4"'o '6 0 PERMIT FOR GAS INSTALLATION SACHU This certifies that 4!` ........ has permission for gas installation ... ................... 7'1 in the buildings of .............................................. at .... ................................ North Andover, Mass. Fee. /4Z. ic. NO. . .......................... 416- //,5 ? GASINSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File