HomeMy WebLinkAboutMiscellaneous - 5 HILLSIDE ROAD 4/30/2018 (2) 5 HILLSIDE ROAD
- 210/098.60006-0000.0 -� `�
Date.� :. . . . . . . . . .
��.",°RT"'4o TOWN OF NORTH ANDOVER
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PERMIT FOR PLUMBING
SA us A'
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This certifies that . . f'`:'. . . . . . . . . . . .. . . . . . .
-u has permission to perform . . . .. . . . .. .,. . . . . . . . f. . . . . . . .
plumbing in the buildings of . .r- ;. . . . . . . ._. . . . . . . . . : . . . . . . . . . . .
at . . . . . . . . . . . . . . . . . . . . . . , North Andover, Mass.
Fee�7.p .Lic. No. . . . . . . . . . . . . .
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PLUMB1/G,,ICSPECTOR
Check # .416g5--*
5356
MASSACHU SETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or type)
Mass. Date ss --6 Permit #
Building Location [' i��s Owner's Nam
Type of Occupancy.oRes dential
New I.J Renovation 1-1 1leplacernent q Plan` s Submitted: Yes D No
FIXTURES
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SUB—BS MT. — --
BASEMENT
IST FL0011
2ND FLOOn
SBD F1.008
4TH FLOOR
STH FLOOn
A —6TH F1-0011
TTN FLOOn
* GTH FLOOr1 '
Installing Company Name Heritage Htg &P1g. CO. Inc . Check one: Certificate
Address 35 Pleasnt_—street [X Corporation 714
Stoneham, Ma 02180 [-1 Partnership
Business Telephone_—,.— ��=.7 7 7 C_- C 1 Firrn/Co. _.
Nance of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirernents of MGL Ch. 142.
Yes P-q No L]
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy IN Other type of indemnity 0 Bond ❑
OWNER'S INSURANCE WAIVErt: I ar-n aware that the licensee does riot 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:
Owner O Agent CJ
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted(or entered)in above application are true arid accurate to the best of my
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chap r 142 of the General Laws.
By --- —----- h r - -- ----
�gnatwe OWL, weber
Title
Type of License: Master IN Journeyman Fj
City/Town 8322
APPROVED(U RCf �E ONLY) License
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME &TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE 19
PLUMBING INSPECTOR
1