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HomeMy WebLinkAboutMiscellaneous - 300 SUMMER STREET 4/30/2018 300 SUMMER STREET 210/107.A-0159-0000.0 Date:"�. . . . . .' . . NORTIy TOWN OF ORTH ANDdVER PERMIT FOR PLU`GING SSACNUgEt This certifies that . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission to perform.' T,w.- U.v . j . . . .. ,plumbing in the buildings of . . . . . at �'"'. .� - . . Noah Andover, Mass. Feer. . .. . . .Lie. No.. . . . . . . . . . . . . . . . / . . . . . . . . . . . . j PLUMBING I 6ECTOR g Check # 8265 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT IO DO PLUMBING (Print or Type) �/d. A o ✓ = Mass. Date �b c b 6 9 City, Town = Q Buildl Permit!i_ [I`off Owner's I ul;`7 AT: Locdo �o �� .,tie✓ S Name 21 Ch t...�.� Z Type of Occupancy- e S/'d New ❑ Renovatlon ❑ Replacement FIXTURES Plans Submitted Yes ❑ No I— Z Y < rA to o z > W Y J O �' V < ? IC W O Z < ce < F- O t7 2. j (A W y = O Fm' V W Co 19 < to ti, Z 0. 2 h d V Z m rA W < F- m z m a. d <cc - < 3 _x IC. W l� FO' W < .W <i3r J W cc J Z p p O {t ~ U < z ad. Z Y Y A. O t- < Y < tL IL Y W d y 1- o w z a a z z m F-. o 3 X � m �. m a < C < -i -8 < ac it W, < o < tx- N C p .+ ; = F cc u. d i p t 3 it as o � Sun-BSMT. BASEMENT v x 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR TTH FLOOR 8TH FLOOR (Print or Type) Check One: Certificate 'p Installing Company Name kk I c re C L,,, ®'Corp. 1 9 7 (,o A_ddr ss - So , , e r s� ❑ Partnership /1/o. J�e a d. q 114 O!�6 ❑ Firm/Company Business Telephone C/? to Y- S 9 b Name of Licensed Plumber or Gasfitter Pe 7-F- 2 0 6-4E I h=by 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 knowledge and that all plumbing work and installations performed under Permit issued for this application will be in compliance with all pertinent pravidom of the Masuchuseua State Gas Code and Chapter 142 of the General Lawn. I have infattned the owner or his agent that I do not have liability insurance including completed operations coverage. Siarnue of Oreer/AsM I bave a current liability insurance policy to include completed operation u coverage, ` By .Title Signature of U=sed Plumber (Sty/Town Type of Plumbing License APPROVED (OFFICE USE ONLY) —4 Number Er Master [:] Journeyman Fath 1240 (H&W ) Ht*g%;c a W&wacu^A Date. .: . :. .f:f� .F. . .. . . NORTH TOWN OF NORTH AN0OV9R// • PERMIT FOR GAS INSTALLATION �9SSACHUSEtS This certifies that . .` :: ': . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . . . . . . . . . . . in the buildings of :. : � .-, .... . . . . . . . . . . . . . . . . . . . . . . . at :. �. . . '::. . . , North Andover, Mass. Fee � . �. . . Lic. No:./.. . %. . . . . . . . . . . . . . . . GAS I��C: 08 f.� Check#' MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Pft or Type) ND_ 4 n/©o Lf C,2 , Mass. City,Town Permit# Building Owner's AT: Locadcm U z Type of 0_ ::a T e a,✓`i A L New ❑ Renovatw -❑ Reptamxa t�7 Plans Submitted Yes ❑ No �v a q � p a a p ecr u a ce a ¢ e a u = w f a W a .a t" s er o < < a C o = o � Ic m a H w ru — o. err < W W g w x < x a s "' < z c t- x v t• Z ,-1s t= x I. }w W o > or. t- .3w .s I-- uzi < W > cc M i < arc < i a o W a o W h a z o v z U. a 3 a v .+ v z > c d t- o SUB--BSMT. BASEMENT X IST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 6TH FLOOR 6TH FLOOR TTH FLOOR • STH FLOOR (Print or Type) Check One: Cer"•i irate Installing Company Name. _ARQCorp. f 9 (o Address - .SO Partnership 100- &AJW JG, It-M1ay 1 �� ❑ Firm/Company Business Telephone 97 Y " 4n(o SS 9 6 Name of Licensed Plumber or Gasfitter E rz;, Ll&,Q" G2 E I hereby certify that all of the ddails and information I have submitted(or cataA in above appliation are tmvc and aoaaate to the bat of my knowkdge and that all plumbing wort and installations performed under Permit inncd for this appliation will be in,o phance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of(be General Laws. I have informed the owner or his agent that I do not have fiability imnu=c including completod operations coverage. stp«.ic dOwalM� 1 have a cement fiabdity insurance policy to include completed operations coverage. By TYPE LICENSE: ✓����� Title ❑ PlumberSignature of Licensed Plumber or Gasfitter City/Town ❑ Gasfittcr IX Merrier APPROVED (oF cE usE omy) rim=/Number Date. . . :. . . .. .. . . . . ... .. . NOitTly pf 4a,ao ,ti0 0 TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION • ,� ♦ F •�th y,SSACMUSEt This certifies that . . . . . . . . . . .. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . has permission for gas installation . . . . . . .'. . . . . . . . . . . . . . . . . . . . . in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . .....'. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass. Fee. . . . . . . . . Lic. No.. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check# MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING (Print or Type) - �02t� �ov6l� Mass. Date d 1-h. Z,-0 - City, Town Permit # Building Owner's w AT: Location Sot, Su��e Name Ri Type of Occupancy: �s 1 o cn��r► L New ❑ Renovation ❑ Replacement Plans Submitted Yes ❑ No N WV) V) V) U C c y tt N m 0 O N = F W J V) W F V m ~ a x H Z O W I— < a Z O Z W 1 W Q O 4 W F > d � N t7 W W Z Z �"' W O W W pmt V) 1 Z Q Y W cc OW mc tY W F- W V = 0 Q C7 ►- Z H Z I. W W O > W I- W J I W Y d W < X f' r N m Z O Z 5 O 0 Z d W > tY W 7 Z < OC < d O O W O W t- tY .= Q 0 Y W O T G CJ J C1 OC > C M F- O 11 SUB—BSMT. BASEMENT 1ST FLOOR 2ND FLOOR 3RD FLOOR 4TH FLOOR 5TH FLOOR 6TH FLOOR 7TH FLOOR BTHFLOOR (Print or Type) Check One: Certificate Installing Company Name Q2 i c 2 6 T,-V C- .Corp. Address SO SIU i n-I-E2 S� . ❑ Partnership �Io . G A ; J G, PA A O 1 8hV ❑ Firm/Company Business Telephone !171 --lolok — 5,5-9L Name of Licensed Plumber or Gasfitter A-r-P- 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 knowledge and that all plumbing work and installations performed under 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. i 1 have informed the owner or his agent that 1 do not have liability insurance including completed operations coverage. Signature of Owner/Agent 1 have a current liability insurance policy to include completed operations coverage. By TYPE LICENSE. ❑ Plumber Si a re of Licensed Title Plumber or Gasfitter City/Town ❑ Gasfitter OFFICE USE ONLY) ® Master 9S- 3 APPROVED 9 ( License Number ❑ Journeyman ti MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTIN* G I (Print or Type) NORTH ANDOVER Mass. Date :0 i �uilding Location 3 CrO Permit # /9fid" c, r4 n d Gy-ef^ -zz-i cy- Owners Name C'/"ICA SC U/74� • Y _ New 7-1 Renovation D Replacement J?f�, Plans Submitted D �-� FIX7U0=-c N v k- t+t Z tII H i" C O = Q FW' W W O. W N O V na m .. •( tt: O t1 > W W W Q7 J Z < C G Q a tY W F C7 G �.. W W O ? w 2 d W G C — F- Y- N — o Z Z O N .. O c7 % 3 D U C W y Q C6 l-- o BASEMEXT IST FLOOR ZHO FLOOR 3R❑ FLOOR ! ! ! ! ! ! ! ! ! ! 4TH FLOOR ! ( ! ! STH FLOOR ( { ( ( ! ! ! STH FLOOR 7TK FLOOR 8TH FLOOR (Print or Type) Check one: Certificate Installing Company Name ''Corp. Address v � -0 - Partner. /1C Firm/Co. Business Telephone: 1?7 3— Name of Licensed Plumber or Gas Fitter es Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity a Bond Insurance Waiver: I , the undersigned, have been made aware that the licensee of this application nndoes not have ,nv one of the above three insurance coverages. A/' J Signature of owner/agent of property Owner 17 Agent I hereby certify that all of the details and infortnuioa I have wbmitted (or entered)in above application are true and accurate to the best of my knowledge and drat all plumbing worst and (nstautions 7cr ormcd under ftermit iuced fo: this application will be in eomplianoa wittt all pertinent provisions of the Massachusetts State Cas Aide and 0tiaptez 142-of tSe General Laws. -. By T�' E LICENSE: R Plumber Title Gasfitter Signature of Licensed City/Town• Master Plumber or Gasfitter Journeyman FS S q 7 APPROVED (OFFICE USE ONLY) License Number • Date. ./. 1!/Sa. ....... NaR,M TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION S � a r t i s A SSACMUSE This certifies that . . . has permission for gas installation CU in the buildings of . ..5'.C, l �.L f z at . . ��U. ,5��.��r. <n,f11. 1'f , North Andover, Mass. Fee. sem. . . . Lic. No.. �.S l. . . � •• AS INSPECTOR • WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File