HomeMy WebLinkAboutMiscellaneous - 30 NORMAN ROAD 4/30/2018!71
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Date.. . 0
1
TOWN OF NORTH ANDOVER
PERMIT FOR. GASINSTALLATION
This certifies that ...... .......
... ....... .. .... ..
'30 It ( -e /t
has permission for gas installation .... .......................
in the buildings of . ...........................
at .............. I North Andover, Mass.
Fee. 0 '. Lic. No.. X.0.3
Y-Z�:,�S-PECTOR
Check# 1y:70 �
6654
I
MASSACHUSEM UNIFORM APPIXkTON FOR PERM TO DO GAS FMT'4G
(Type or print) Date
NORTH ANDOVER, MASSACHUSETTS j 4,/ le I'd
Building Loqations /t m pl- V
Permit #
Owner's Name Amount S
New Renovation rl Replacement 13 Plans Submitted
(Print or type) i
Name 5-* e,41,00z ;e Check one: Certificate Installing Company
Address y_ jt7d g Corp.
o
Name ofLicensed Plumber'or Gas Fitter
r UPartner.
—n
........... [aFirm/Co..
1 hereby certify that all of the details and information I have s .Jvvrlcr L I Agent Li
ubmitted (or entered) in abo, pplication are true and accurate to the
best of my knowledge and that all plumbing work and in!��Jkations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Mas Gas Cod d Ch:242 of the
=S general Laws.
le
y/Towm
'PROV� ED (OFFICE USE ONLY)
Signature of
ET -Number
Ej Gas Fitter
13—Master
0 Joumeyman
sed Plumber Or Gas Fitter
r 3 A�
LIcense Number