HomeMy WebLinkAboutMiscellaneous - 54 EQUESTRIAN DRIVE 4/30/2018 54 EQUESTRIAN DRIVE
210/105.D-0140-0000.0
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Date. 6 ?.
"ORT
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
,SSACHO / ^�
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This certifies that . .���1''.'. 1!d�;r. 7. . a.�. .�. . . . . . . . . . . . . . . . .
has permission to perform . . . ./.? . . . . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . .(?". .�/f G`. . . . . . . . . . . . . . . . . .
at. . . . .. . . . . . . . ., North Andover, Mass.
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Fee. ?. . . . . . .Lic. No..x. . ,�. . . . . . . . . . . .
PLUMBING INSPEC-OR
Check # ) c-, 1 3
54rl
80
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
,6 �qn�hjyet—Mass. Date )614 _Q� Permit # _ _
a Building Location 5Lf o ! f yi�h Bwner's Nam i'
Type of Occupancy Re s i de n a l
New IJ Renovation U Replacement Plans Submitted: Yes ❑ No ❑
FIXTURES UU
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SUB-BSMT.
BASEMENT
1ST FLOOR
2ND FLOOR
3RDFLOOR
1 4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
Installing Company Name Heritage Htg. &P.lg. CO. Inc. Check one: Certificate
Address 35 Pleasant Street CX Corporation 714
Stoneham, Ma 02180 Cl Partnership
Business Telephone__781�i 3 8—7 7 7 6_ F] Firm/Co. _
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes N No ❑
If you have checked les, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy X Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not 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 ❑ Agent❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and in!ormation I have subm.ilted(or entered)in above application are true and 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 Stale Plumbing Code andChapter 1 of the General Laws.
a e of Licensod P umber,
Title
—�_-_-- Type of License: Master JX Journeyman[l
City/Town 8 3 2 2
APPROVED) O1=FICEE SE ONLYI License tJumber_____ _!_
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
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