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HomeMy WebLinkAboutMiscellaneous - 460 STEVENS STREET 4/30/2018 460 STEVENS STREET 210/096.0-0007-0000.0 r I I I I i 1 � 1 I 71, Date. .. .... .. < P . . ' "42 3812 f NORTH TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING D•�TID����� w ,SSACNUS� 1%is certifies that . . . . . .. , . . . . . . . . . . . . . . . . . has permission to perform► . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . t �.plumbing in the bui Ings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at. . A-1 4 © . . . . . . . . . . . . . . . . . . .. North Andover, Mass. . . .Lic. No.. 00P%�4 PLUMBING INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK:Treasurer > MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING . (Type or print) NORTH ANDOVER,MASSACHUSETTS c c ,�. Date Building Locations �% C) STS Permit # Amount Owner's Name New�/ Renovation Replacement Plans Submitted n FIXTURES w a rA F F a w a a x oma SUB-BM ISE Rfm X�n pan FaLa R aM>� 5M RIM sal ROM 7I RaR . :i Print or type) Check one: Certificate Installing Company Name r ) � `Z�d ��.Y Corp. Address �.� L. )V- /✓0 12 Partner. � 4 C44:: �- Business Telephone a �(D d Zy �Firm/Co. Name of Licensed Plumber: Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑ Liability insurance policy ©' Other type of indemnity Bond Lksurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance gnature Owner Agent 13 itiese�z�tacfi� a ct6c ams Rai iuirz�Ike a la n iUMa W---XUC 8 S� best ol<my1-nawledge and t3ac all phmmliing wa&and- peri c anderria for f� Wabe m compliance with all pertinent provisions of the Massachus S to u ing C and Ch 1 of the General Laws. By: igna re Q7 Licenseaum er Ll Type of Plumb LicMse Title City/TowniL cen3�'T'1 mer Master Journeyman APPROVED(OFFICE USE ONLY Location � � � No. —()M " �� 0 Date • - TOWN OF NORTH ANDOVER • .�t�ED X� ;i • ' n '{ Certificate of Occupancy $ Building/Frame Permit Fee $JOft— 't, C, Foundation Permit Fee $ t INOther Permit Fee $ TOTAL $ n Check# 0 0 Building Inspector