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TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
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This certifies that
has permission to perform ....
plumbing in the buildings of ......................
at.. North ndo r, Mass.
Fee.. . "�'—Lic. No/3c/6 ....
Check # PLUMBING INSPECTO
SUB BSIVI 1.
BASEMENT
I' FLOOR
Y6 FLOOR
jRD--
FLOOR
�FLOOi
jrH -
FLOOR
'WW -FLOOR
7' FLOOR
8'" FLOOR
rMASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town.---,& MA. Date: Permit#
Building Location; 30 t;�Aeitj Aua; Owners Name:
Type of Occupancy: CommerciaIE] EclucationalEj IndustrialE] Institutional[] Residentialr
New:E] Alteration: Renovation:Ej— Replacement: � Plans Submitted: Yes [I No
. . . FIXTURES
Installing C ompany Name: '3/WyAA/
Address: 116,A) g: S-,"- City/Town:
;�6A`t'00' State:
BusinessTel: ?7j-y'V"1'-a2a? Fax:
Name of Licensed Plumber:
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Check One only —Certificate #
El Corporation
El Partnership
El Firm/Company
DEDICATED
SYSTEMS
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1 have7aAcNurrent hatUyjnsurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 2-14-0
If you have checked Yes, please indicate the type Of coverage by checking the appropriate box below.
A liability insurance policy- Other type of indemnity Ej Bond F1
OWNER'S INSURANCE WAIVER: I am aware that the licensee do
does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application Aa-i[yes this requirement.
Check One Only
Signature of Owner or Owners Agent Owner Agent E]
I hereby �Wl Lity that all ot the details and
� I ) I I! t I l�! 1� I I I' � I P! I IS ail�ri 1111 cation are true and accurate to the 6-e-st —ofmy
Knowledge and that all plumbing work and installations performed under the pe'rm'lt issued for this applicati will be in compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter eGe al Laws.
By
Type of License -
Title
mber 19 ure of Licensed PI ber
-Irm 1 ;2z
City/Town in aster
APPROY����� E]Journeyman License Number:— �f6
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Installing C ompany Name: '3/WyAA/
Address: 116,A) g: S-,"- City/Town:
;�6A`t'00' State:
BusinessTel: ?7j-y'V"1'-a2a? Fax:
Name of Licensed Plumber:
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Check One only —Certificate #
El Corporation
El Partnership
El Firm/Company
DEDICATED
SYSTEMS
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'NSU
1 have7aAcNurrent hatUyjnsurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yes 2-14-0
If you have checked Yes, please indicate the type Of coverage by checking the appropriate box below.
A liability insurance policy- Other type of indemnity Ej Bond F1
OWNER'S INSURANCE WAIVER: I am aware that the licensee do
does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application Aa-i[yes this requirement.
Check One Only
Signature of Owner or Owners Agent Owner Agent E]
I hereby �Wl Lity that all ot the details and
� I ) I I! t I l�! 1� I I I' � I P! I IS ail�ri 1111 cation are true and accurate to the 6-e-st —ofmy
Knowledge and that all plumbing work and installations performed under the pe'rm'lt issued for this applicati will be in compliance with all
Pertinent provision of the Massachusetts State Plumbing Code and Chapter eGe al Laws.
By
Type of License -
Title
mber 19 ure of Licensed PI ber
-Irm 1 ;2z
City/Town in aster
APPROY����� E]Journeyman License Number:— �f6
7693
Date. ......
TOWN OF NORTH ANDOVER
PERMIT FOR GAS INSTALLATION
Nz�
This certifies that
has permission for gas installation
. ............
in the buildings of k 4 ...............
at.13P ... (-�117 10tA� ...... North Andover, M
...................
Fee.0)0:��. Lic. No.. .................
GASINSPECTOR
Check # y(/3
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yevff--No F1
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy Other type of indemnit y E] Bond El
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this pe—rmit application waives this requirement.
Check One Only
Owner El Agent El
Signature of Owner or Owner's Agent
By checking this box I-]; I here y certify that all of the details and information I have submitted (or entered) req
---* ... . .. . . - - _ ardincl this aoolication are trtjp and
JJ1U111UJ11!JWUFKanU instanations pertormed under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 14_4f thfiwG�bneral Laws.
By Type of License:
El Plumber
Title W rG Fifter
Master olureofLUicensed, umber/GaSFFi�tter
CityTrown Eliourneyman
APPROVED (OFFICE USE ONLY) El LP Installer License Number:
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GAS FITTING
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City/Town: MA. Date: 01h Permit#
Building Location: 301j)V11"Z'AJ A_t3r Owners Name:. ;P5�4464k
Type of Occupancy: Commercial El Educational El Industrial 0 Institutional El Residential
New: Alteration: Ej Renovation: F] Replacement: R' Plans Submitted: Yes F1 No
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yevff--No F1
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy Other type of indemnit y E] Bond El
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this pe—rmit application waives this requirement.
Check One Only
Owner El Agent El
Signature of Owner or Owner's Agent
By checking this box I-]; I here y certify that all of the details and information I have submitted (or entered) req
---* ... . .. . . - - _ ardincl this aoolication are trtjp and
JJ1U111UJ11!JWUFKanU instanations pertormed under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 14_4f thfiwG�bneral Laws.
By Type of License:
El Plumber
Title W rG Fifter
Master olureofLUicensed, umber/GaSFFi�tter
CityTrown Eliourneyman
APPROVED (OFFICE USE ONLY) El LP Installer License Number:
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SUB BSMT.
BASEMENT
15'FLOOR
2 NL) FLOOR
Vu FLOOR
-�i'FLOOR
5TH
F OOR
6 TH F COOR
7"' FLOOR
81H FLOOR
Installing Company Name:
1AI&V
Ail
Check One Only Certificate #
Address:--CAeW4F S;�'
City/Town:
State:
Lj Corporation
Business
Ej Partnership
Tel:
-ft,9��-47417
Fax:
Firm/Company
Name of Licensed Plumber/Gas Fitter:
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 Yevff--No F1
If you have checked Yes, please indicate the type of coverage by checking the appropriate box below.
A liability insurance policy Other type of indemnit y E] Bond El
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this pe—rmit application waives this requirement.
Check One Only
Owner El Agent El
Signature of Owner or Owner's Agent
By checking this box I-]; I here y certify that all of the details and information I have submitted (or entered) req
---* ... . .. . . - - _ ardincl this aoolication are trtjp and
JJ1U111UJ11!JWUFKanU instanations pertormed under the permit issued for this application will be in
compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 14_4f thfiwG�bneral Laws.
By Type of License:
El Plumber
Title W rG Fifter
Master olureofLUicensed, umber/GaSFFi�tter
CityTrown Eliourneyman
APPROVED (OFFICE USE ONLY) El LP Installer License Number:
0
Office Use Only
BOARD OF FIRE PREVENTION REGULATIONS 527 C. -JR 12:00 Peave blar*)
r
!U a -37d
C11411FLIM=nWratth af Musar4usiffs Pwrnit No. * I
1ItPmtnzn1. of Publir E-jfztq Occupancy A Fee Checkid
APPLICATION FOR PERMIT TO PER -FORM ELECTRICAL WORK
All work to be Performed in accordance with the massacriusetts Electrical Code, 527 CMR 12:00
(PLF-ASE PRINT IN INK OR TYPE ALL INFORMATION) Date --,/ 2- — 5�" --�7 -;.e
QM or Town of, NORTH—ANDOVFR To the Inspector of wires:
The udersigned appfies for a permit to perform the ele trical work described b . elow.
Location (Street & Number) /A7
Owner or Tenant
Owner's Address
13 this permit i -n conjunction with a building per mit:
P'JrCC3e of Building
existing Service I -e-0 s
New Sel-ii-ce Amps /—%Ioits
Numoee at Feecers ana Ampacity
Lccaticn aria Nature of Fircoosec Elecnncal 'NcrK
11
Yes ��No C:' (Check Appropriate Box)
'IV' r,4 4 1 tility Autnarization No.
Over6fao Unagma r— No. of Meters
Cverneac Uncg.na No. of Meters
No. Of 01%fem Heazing Covices '.ccat Munlc;oai -N—
Connec,.:on Other
No, Ct No. of Law Voltage
Na. at Water Heaters KW Signs Sailasts Wirmc;
NO. 4YOfO Massage -subs No. of %iotcrs -,otai HP
OTHER:
INSURANCE C--VERAGE: Pursuant :a the recuirements at Massacrt"ers ;enerai Laws
I have a current Uaonity Insurance Policy inctucing --zrn=.-9i!5_Qaeraticns Czverage or :is suos.antial ocuivaient. YES
nave SUOmifteo vatic ;root at same to triq Ctf'ce- YES -----'qC -- It -icu nave c.-16c%9G YES. wease inoicate :no type at coverw;* Cy
checking -no a0p ors
INSURANCE
OTHER = tPease -4zcec:*y) S—
rUtimatea Value at E!ocncai 'Work 3 (EAciration Oatei
Work -0 Start' ;;F Insoecnon Date Aacues:ac: Rougntit'.
S;gn*G uncer :he Penalties at pit ury.
FIRM NAME
Lscanse* Z711dr, UC. NO./If
S;gnature LJC.NO.
3U3. 74, No. g2 X-- *-7 — 2-0-e �o-
Alt. Tell �10
OWNEFJ*S INSURANCE WAIVEq; I am aware mat tM& L:censee coos not mave In@ o;3urance coverlige or its 3UO3tantial atulvalent as re-
Gult9c MY M&SsacmuseltS General Laws. ano .mat my signatufs on :r%:s =er-m—it acoiication waives this rectoroment. Owner Agent
(Pease check on*i
-ei*onone No
Pf-i4MIT FEE S
Mignature of Ovvn@r or A99nu
NO. 21 1-:qntinq Outlets
No. =.' Hct 7--=s
I
No. �f 7ransformers fatal
. KVA
No. 'it Ligmtimig Fixturis
Above—
Swimming Pcoi
grna. _
:n -
grmc.
Generators KVA
NO. '31 Recectac:6 Outlets
No. zt --it Burners
No. of Emergency Ugmting
Bar" Unit . s
No. of SwlICm Outlets
No. Cr Gas Eurners
FIRE ALARMS No. of Zones
No. of Cotection ana
Initiating -�Iovjces
'No. --t Scuncimg 0evices
-No. ot.S*it Cantainec
0016C'.'OruSouncing 0ovices
No. Zf Ranges ANO. =* Air C--r.c. otai
tons
NO. Of Oiscosais No.zt Heat Motai Motai
P-J:rcs Tons K%V
No. at aismwasrivs SoacetArea Hoating <%4j
No. Of 01%fem Heazing Covices '.ccat Munlc;oai -N—
Connec,.:on Other
No, Ct No. of Law Voltage
Na. at Water Heaters KW Signs Sailasts Wirmc;
NO. 4YOfO Massage -subs No. of %iotcrs -,otai HP
OTHER:
INSURANCE C--VERAGE: Pursuant :a the recuirements at Massacrt"ers ;enerai Laws
I have a current Uaonity Insurance Policy inctucing --zrn=.-9i!5_Qaeraticns Czverage or :is suos.antial ocuivaient. YES
nave SUOmifteo vatic ;root at same to triq Ctf'ce- YES -----'qC -- It -icu nave c.-16c%9G YES. wease inoicate :no type at coverw;* Cy
checking -no a0p ors
INSURANCE
OTHER = tPease -4zcec:*y) S—
rUtimatea Value at E!ocncai 'Work 3 (EAciration Oatei
Work -0 Start' ;;F Insoecnon Date Aacues:ac: Rougntit'.
S;gn*G uncer :he Penalties at pit ury.
FIRM NAME
Lscanse* Z711dr, UC. NO./If
S;gnature LJC.NO.
3U3. 74, No. g2 X-- *-7 — 2-0-e �o-
Alt. Tell �10
OWNEFJ*S INSURANCE WAIVEq; I am aware mat tM& L:censee coos not mave In@ o;3urance coverlige or its 3UO3tantial atulvalent as re-
Gult9c MY M&SsacmuseltS General Laws. ano .mat my signatufs on :r%:s =er-m—it acoiication waives this rectoroment. Owner Agent
(Pease check on*i
-ei*onone No
Pf-i4MIT FEE S
Mignature of Ovvn@r or A99nu
030 '0'
No- Date ... /h/ .. 7
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ...... 0 ...... (7--7 . ....... 5MAM.A. I ......... (- 7. 1 � . " n
....................
has permission to perform ...... tc A .............
wiring in the building of ..... .................................................
at ... j .. 0 ...... L.j.,,AjCj..e.-j...,
.�J.10
. . . . . ...................... . North Andover, Mass
Feec��X)0
.... Lic. No. ..............
'C' 'A' L' N** S* P**E* M R .................
G� W �-a�
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Locat�Jon 73 0
No -72�1 Date
V40RTh TOWN OF NORTH ANDOVER
Certificate of Occupancy $
Building/Frame Permit Fee $
ru
Foundation Permit Fee $
Other Permit Fee
;Ar -
I Sewer Connection Fee
rr., Water Connection Fee
TOTAL
T3
Building Inspector
Div. Public Works
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HOME IMPROVEMENT CONTRACTOR
Registration 102097
Type - INDIVIDUAL
Expiration 06/30/98
JOSEPH P. BRADISH, JR
EO Moulton Drive/ Box 448
ADMINISWTOR E. HamPstead,NH 03826
Cf!NSTRUCTION
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TOTAL $
Ck -71
Building Inspector
T2
10400 Div. Public Works
0945M 16:12 25.0o PAID
TOWN OF NORTH ANDOVER
0
jsjj� 0 A
Certificate of Occupancy
$
L
Building/Frame Permit Fee
$
2 CHUS
Foundation Permit Fee
$
Other Permit Fee
$
Sewer Connection Fee
$
A
Water Connection Fee
$
TOTAL $
Ck -71
Building Inspector
T2
10400 Div. Public Works
0945M 16:12 25.0o PAID
PER -MIT NO.
APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS.
PAGE 1
MAP +40.
LOT NO.
2 RECORD OF OWNERSHIP IDATE
BOOK :PAGE
ZONE
SUB DIV. LOT NO.
LOCATION
:30 41 A,,oe,, A V
PURPOSE OF BUILDING
OWNER*S NAME 4AAMQQ�4/
NO. OF STORIES SIZE
OWNER'S ADDRESS A., de A)
BASEMENT OR SLAB
ARCHITECT'S NAME
SIZE OF FLOOR TIMBERS IST 2ND
3RD
BUILDER'S NAME 7;e' -,PI Ile A.) 1eejs6,,,o&'L
SPAN
DISTANCE TO NEAREST BUILDING
DIMENSIONS OF SILLS
POSTS
DISTANCE FROM STREET
DISTANCE FROM LOT LINES - SIDES REAR
GIRDERS
AREA OF LOT FRONTAGE
HEIGHT OF FOUNDATION THICKNESS
IS BUILDING NEW
SIZE OF FOOTING x
IS BUILDING ADDITION
MATER;AL OF CHIMNEY
IS BUILDING ALTERATION
IS BUILDING ON SOLID OR FILLED LAND
WILL BUILDING CONFORM TO REQUIREMENTS OF CODE
IS BUILDING CONNECTED TO TOWN WATER
BOARD OF APPEALS ACTION. IF ANY
IS BUILDING CONNECTED TO TOWN SEWER
IS BUILDING CONNECTED TO NATURAL GAS LINE
INSTRUCTIONS
SEE BOTH SIDES
PAGE I FILL OUT SECTIONS I - 3
PAGE 2 FILL OUT SECTIONS I - 12
- ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING
ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS
PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR
DATE FILED
PERMIT GRANTED
Is 19
3 1 PROPERTY INFORMATION
LAND COST
EST. BLDG. COST 2—
EST. BLDG. COST PER SQ. FT.
EST. BLDG. COST PER ROOM
SEPTIC PERMIT NO.
4 APPROVED BY
EUILMING Imall"acTok
OWNER TEL. # olPP-3 92cP
CONTR. TEL. #
CONTR.LIC.#
H. I. C. #
717
BVILDING RECORD
I OCCUPANCY 12
LINGLE FAMILY
E S
MULTI. FAMILj:::::::#lSTOpI
APARTMENTS
I
CONSTRUCTION
2 FOUNDATION
8 INTERIOR FINISH
a 1 2 13
PINE
HARDW D
PLASTER
CONCRETE
CONCRETE BL K.
BRICK OR STONE
PIERS
--6RY WALL
NFIN
3 BASEMENT
AREA FULL
V, 1/2 1/4
FIN. B M*T AREA
FIN. ATTIC AREA
NO 8 M T
FIRE PLACES
HEAD ROOM
MODERN KITCHEN
4 WALLS 9 FL07RS
CLAPBOARDS
B
1
2
3
DROP SIDING
WOOD SHINGLES
ASPHALT SIDING
ASBESTOS SIDING
EONCRETE
EARTH
HARDW D
COMMON
-AlPH
VERT. SIDING
TILE
STUCCO ON MASONRY
STUCCO ON FRAME
BRICK ON MASONRY
ATTIC STRS. & FLOOR
BRICK ON FRAME
CONC. OR CINDER BLK.
WIRING
STONE ON MASONRY
STONE ON FRAME
S _EPOOR__�
NONE
ADEQUATE NONE
5 ROOF
10 PLUMBING
GABLE
I
HIP
BATH (3 FIX.)
M
GAMBREIL
:B'
FLAP
MANSARD
TOILET RM. (2 FIX.)
L
SHED
WATER CLOSET
ASPHALT SHINGLES
LAVATORY
WOOD SHINGES
KITCHEN SINK
SLATE
NO PLUMBING
TAR & GRAVEL
STALL SHOWER
ROLL ROOFING
MODERN FIXTURES
TILE FLOOR
TILE DADO
6 FRAMING
11 HEATING
WOOD JOIST
PIPELESS, FURNACE
FORCED HOT AIR FURN.
TIMBER BMS. & COILS.
STEAM
STEEL BMS. & COLS.
HOT W'T'R OR VAPOR
WOOD RAFTERS
AIR CONDITIONING
RADIANT H'T'G
UNIT HEATERS
7 NO. OF ROOMS
AS
IL
B M -T 2nd
d
ElLiCTRIC
NO HEATING
THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM
LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA -
AGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN.
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COMMERCIAL - RESIDENTIAL
DATE
Brockway -Smith Company
Brosco Architectural Group
SerVing Greater Northeast Architects since 1890
Office and Exhibit Area:
146 DASCOMB ROAD
(Route 93 - Exit 42) 800-225-7912
ANDOVER, MA 01810 FAX (24 hours) 800-242-4533
JOB
NTRY DOOR SYSTEM Andersen "Rain Sensitized"
Wood and Steel Automatic Closing
Hinged French Patio Doors ROOF WINDOWS
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Hinged French Patio Doors ROOF WINDOWS
WE
COMMERCIAL - RESIDENTIAL
DATE
Brockway -Smith Company
Brosco Architectural Group
Sehing GPeater Northeast Architects since 1890
Office and Exhibit Area:
146 DASCOMB ROAD
(Route 93 - Exit 42) 800-225-7912
ANDOVER, MA 01810 FAX (24 hours) 800-242-4533
JOB
NTRY DOOR SYSTEM Andersen "Rain Sensitized99
Wood and Steel Automatic Closing
Hinged French Patio Doors ROOF WINDOWS
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6bbA%o"UQQ 1 114 UltirlUMV1 Art-Lit.;AitUri FUH PLH_MjT-,r0__
'PLU140
(Type or Print)
at4:,.
NORTH ANDOVER 'Mass.
�` ` X11
Building Location 6 "Itlj-e,
Owners Name
New 0 Renovation tal-**Replacement Plans Sybmitted
U.4TURFS
(Print or Type)
Installing Company Name PJ If �gj�
'0
Address e /2- L F
—?I Z) A -f-4 11-�_Vcl
72
7,
Check one: Certific&ts",
Corp.
Partner.
Firm/Co.
Business Telephone & 7,-D
Name of Licensed Plumber:
Insurance Coverag Indicate the type of insurance coverage by checking the
appropriate box:
Liability insurance policy E31l'-Other type of indemnity [:] Bond
Insurance Waiver: 1, the undersigned, have been made aware -that the licensee Qf'4..,! I
this application does not have any one of the above three insurqnce roverages.,-
Signature of owneriagent of -property Owner Agent
I kaby catiry that all of dic dasas and W0101860a I have Submit led lot enwcd) in aim'
Ic armicalion Ike live
knowkdge lsad Out all plumbing walk Mftd ifts(3114611ft lbeftnimcd uadct rceataj( Issued (at Ws appikslioa WUl be im �ffi zam to 1144 kd
Wmie" of " M"whoutts State flumbial; Codc and W Fell
Mapict 141 a( ilic (;mce &I L3WL
Title
City/Town:
A oopnvFn 70FFICF USE ONLY1
Signature 6f"Licensed Plumbleg
Tv of Plumbing License
7-t) i ool
Li(c'ense Number EYMastar E]
"Mm
Journeyv"j
J2 3559
Date.
0011
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that ...
has permissionto perform ... rk. .-D I. i ............
plumbing in the buildings of . ./9 A t ' *''*****''* ... * ' '
at ... 3. .......... North Andover, Mass.
Lic. No. -�P. ( .. ........ L SQ,
JAC Um BING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer