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Home My WebLink AboutMiscellaneous - 3 Fernview Avenue U-7C) m 6 m 9 m Date. / A? 'Ae !< ....... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that q .................... has permission for gas installation in the buildings of .04!.s. �e'.l ............................. at ................ North Andover, Mass. Fee.,� Lic. No."—'/.?.� 7 .... .... 0 ASINSPECTOR Check # � F / 'Y— 1print or ir ........ 1-.V U'N11'UKM APPLICATION FOR- PERMIT TO DO GASFITTING Date 20 Building Location Pe"t ya—Type Of occupancy NOW D Itanovation 13 IteMacene"t P12M ttlk 191211ing coniipany name Allinen Telephone ism of L leemea Plumber, or 60 Fitter rnWNWAAM have a. current ObIlIty Insurance Policy or Its substantial equivalent which "weft the requirements Of MGL CfL 142. Yet &111 tic 0 f YOU have C:h9Ck9d yes, pleaS9 indicate ' %. the type of coverage by Checidrig the appropriate box k , liability InsuranCe policy 0",,- other tYPe of Indemnity 13 now . C) )WWn IMURINME WAlWk I am aware that th le licensee does: not have the Insurance coverage reclul red by C hap ter 142. OF the M232- G@nSr&l LZM, and that My Signature an dWS—Werniff —a��cefjon Wisives this requirement $na re a Wmas orOwn9—e—sA-5—enT— Check one: - Owner 13 Agent io !ftby certify fjl&t #M of the dg=lk and InFormadon I have gubmdtftd for onter9di In above Plication are true and accuraft to the best of Knowledge and that Oil Plumbing work And Ins tallafJons Performed under Portnentprovislam aw Permit r this aPplication be In compliance with Of the MuSachU16th State GO Code and ClIapter 142 of the a L By Type of License ride a Plumber 0 conse PIU er or as F tter 0 0212fitter =z=F V. Tyl a ovm�_ .APPROVED (OFFICE USE ONLY1 __ C) Journeyman License Number 30 0 a 0 19 2 z 310 I il 0 lop *I It I a 1 49 9 F] UewAouinar 0 jamra U1NO asn MUAO) cm%ovav jacumef Do sue* J"Wsec a JOCPUnld 13 Av :2 SU93I 140 VdA.L 41a3PVA a*ucllgku*3 ul aq 1 0 948 #0 901, J%dWQ 3 put spa 3 a 0 gqn I --. -- u0ne"Oft IF4.1 MUed eta impun p*Wjoji momw3esn" ma io suaimcud 4usupj C) IX 31 SLat M�g ad suopelM Sul put 4jQ& gU,WMd Ile 4gta PUB OAPOVAOUX 'a 15" "Q CC MCA3*8 Put Sn4 OWN UOpvmq 8 pun am tift 41d OACqlf Ul 1p*J@4U§ 401 PIUIWqns aAR4 1 UGRCWJCVUI PUB SOM&P 0 Wa AJaA9Z Aclam; EMIT 3ugaw (3 isurAO . :RUO)IM43 ausew SJOU'RO JO JNORWO SIS82911, UO OARRUISIS Aw 3810 PUB 'MCI RJOLIDO *Bmvv eta 40 tivi Q2UiMSUI fla OA84 4OU Map go . SU11311 9&4 ;e&g gjg&g UIR I :VWVM INUmnsM LVWL%( (3 . puag 13 A31UUJOPLI1 so OdA4 iota() A311013 O*Ummsul AjjjjqejI'I *Xcq 64,91AUdde 9415410810 ACI 0159JOA03 jo oCM4 ala 11411131131JI *=old '91 PGII3043 BACII n0A -.4 *43 10M 10 QURUJaJjflb9j 9q; sggwU qa,LrA 0 am -.-a WL 13VOWAInbe ppun'sqns 41 jo A*11ad 6OULIngul A;jHQf,-,i-U9AM--3— it QAV4 *0 CIPPLIOUjilrd 0 UORRiadjoO 13 048211woo MUG 11=40 ' /9 4UNUO313mv A*uvdn6*OjO OCLAIC-71T Auld $00 Ja JOCRUnId POSUB31 I &a aU01 L-OV-9UCqd9PL ssoulor oaO-L JJWHgd .110A NOLLY311ddV VMn -im n 4-- 1 1 ...... . B=JPF OWEN Aue*uo3 mullpaS E t i;� tj Date N 2 4 .20 ku' 9 This certifies that .................. h as pe rm is s i on to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of at ............... North Andover, Mass. Fee:?�?. Lic. No. ............. PLUMBING NSPECTOR WHITE: Applicant CANARY: Building Dept PINK: Treasurer TOWN OF NORTH ANDOVER 14 . PERMIT FOR PLUMBING This certifies that .................. h as pe rm is s i on to perform . . . . . . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of at ............... North Andover, Mass. Fee:?�?. Lic. No. ............. PLUMBING NSPECTOR WHITE: Applicant CANARY: Building Dept PINK: Treasurer n�� MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) T H AuMvP-C Mass. Date '-Mit # —4—� — — Building Location 3 Ce-4ejyie,,) Ave 4A-W/(-)Owner"sNa s, 'DFm�e CALA-A,4A,-j 0(r4-�-Type of ccupancai�-�" -ri I c . Su New 0 Renovation D Replacement 21", Plans Submitted: Yes 1) No C3 LN 1% A FIXTURES V Installing Company Name Check one: Certificate Address �0 ro�404(Y)4k) x- Pi 0 Corporation /r L Ti -I oe-7A) 0 yo t4 0 1 C3 Partnership Business Telephone 71 Name of Licensed Plumber ::711-17- 4 - 15',4 MMt4 -KoOC- INSURANCE COVERAGE: I have a cu'Te ility Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No 0 .1 If you have checked ves. please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of Indemnity 0 Bond C 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: Sionahira nf (I"nar ^r A --- 6 Owner 0 Agent C1 I nefeDy cemiy tnat all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowiedge and that all plumbing work and installati n�,norrned under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumo de and qapter the eral ILaw.s. t- ?7 of!e.L Title Vw1re of Licensed Plum r City/Town Type of License: Master Joumeyrn Ain 0 FIC U 0 license Number—Di—L— ONE Installing Company Name Check one: Certificate Address �0 ro�404(Y)4k) x- Pi 0 Corporation /r L Ti -I oe-7A) 0 yo t4 0 1 C3 Partnership Business Telephone 71 Name of Licensed Plumber ::711-17- 4 - 15',4 MMt4 -KoOC- INSURANCE COVERAGE: I have a cu'Te ility Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. Yes No 0 .1 If you have checked ves. please indicate the type coverage by checking the appropriate box. A liability insurance policy Other type of Indemnity 0 Bond C 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: Sionahira nf (I"nar ^r A --- 6 Owner 0 Agent C1 I nefeDy cemiy tnat all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowiedge and that all plumbing work and installati n�,norrned under the permit issu for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumo de and qapter the eral ILaw.s. t- ?7 of!e.L Title Vw1re of Licensed Plum r City/Town Type of License: Master Joumeyrn Ain 0 FIC U 0 license Number—Di—L— a cc v m 0 m 10 ic z I c m z r 0 a z 0 z m No -4 m 0 c F a )b 49 z V 0 a 0 c m z W m W V w 0 T fn 0 z (A 0 us lu L6 0 W, 0 0 —1 LU m 0 P 0 w z w 0 cc 961 U) tu 0 z 0 U) Lz I z 4c cc cc 9c 0 us IL to z 0 a 0 z WC C6 cc 0 0 IL W 0 z UA 16 0 C6 0 z cc 0 lu co w dc CL 2 0 IL ot 0 oc z -1 IL U) tu 0 z 0 U) Lz I z 4c cc cc 9c 0 us IL to z c, jeqLunN asueo.ri UINQ 3sn 3oiAjoLamouw 0 WujAewnor umol/Al.rj JqjSRH muson 10 W91 jeqtunid pesuson io ej alp L I -fQ -smel jeja eta 10 ,,diur,?I,, Vo'B. wnid 91M spsn4ovm-M eta 10 suotstAoid jusupied it, 4) u uoq lie qpm somildwoo ui eq Ipm uo.4m!ldcle sitI4 jo; nssi puuad stp japun peuuo suopliepul pLm )POM Bul qLunId Ile jeta pue 96poVAoul Aw jo Isaq at4 ol elvinooe pue en4 eiv uoqm!ldde sAoqv ui (poisjue jo) pa)pwqns 9Ae4 I uo.4vuu i OR Ptm SITISP 941 ;o lie IM Appoo Aqaja4 I [3 IUQBV C3 JQUm0 :GUO 510843 'juawaimbei sit4l saAjpm uollvolliddiv pwiad sILIj uo ainpuBis Aw jv4j pug sm u ss OZ j d Lq RJO a!D * RVI OL14 1. 01 040 Aq pojlnboi aBpjaAoo aouzinsul ot4j 5Az4 jou sooP 00sug011 0141 PW GJzmt' wv I 11113AMM 33N"nSNI S,U3NMO C] PUOS C) AVULUGPUI 10 Qdf4 J0410 Aotpd oominsui Apl!qqly olepdoiddIR ot4j Buploo4o Aq oftmoo QCV4 044 211*!PLJ! *Mid 's—OW PO)Ioa4o oAv4 noA 11 [:1 ON ;:� SOA JE)vj p sjuatuoiInbei 041 SIGOW 4014M Vjalmnb;a jquqsqns sl jo Aoipd eoupinsul Apliqw!'11—mino v oArq I :30VU3AO3 33NVunSNI _L ;X 'N , _�4 jacimIdposueon io Owe I L b lo - Z buot4dolol. ssouisng dl4sJgu:Pud 11 thpy 10 t4 w f V--3,-1 m — 3 uoilpiodico C] 7 Fa R ) 1� cu JCZ ssaippv 912OW93 :Duo )Ioot4o 0) R V T WMFr7'- J-0l777rT76wvN Auedwoo BuilMsul A s3un.Lxi:i C] ON C] s9A juawooeldI98 :popwqnS Weld uowoo8,d9,, E] UOIIIB-AOU88 0 C01 meN q uvdn 0 �O ot� 3/ �:o 1j, rN, C( Cv v )-q V#-� -) VUL S.joumo C)/-# -�)/iy (—,-D ,A Uoilloo-lBuiplIne z7sm-17 -)Cy (Gal JO )UPd) EftermId Oa 01 11NE13d hJ0:1 N011V311ddV WHOAINn su3snHOVSSVVY m ",U