HomeMy WebLinkAboutMiscellaneous - 57 FURBER AVENUE 4/30/2018t
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TOWN OF NORTH ANDOVER
p PERMITFOR PLUMBING
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This certifies that 8
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has permission to perform . H <<s. . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of ...<Rey . . . . . . . . . . . . . . . . . . . .
. . . . . . . . . . . .. North Andover, Mass.
Fee;:,?. 7 . . . .Lic. No..4�.)t.�. o
PLUMBING INSPECTOR c
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
NORTH ANDOVER , Mass. Date 1/30 1997 Permit # ,22 e;
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s Building Location 57 Furber Ave. Owner's Name Terault
iy
Type of occupancy Residential
New ❑ Renovation ❑ Replacement Plans Submitted: Yes❑ No ❑
FIXTURES
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SUa—BSMT.
BASEMENT 1
1ST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
STH FLOOR
6TH FLOOR
7TH.FLOOR ±E-E-
8TH FLOOR
Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one: Certificate
Address5 p a Ga nt Street [X Corporation 714
Stoneham, Ma 02180 [] Partnership
Business Telephone_ 617-4.38-7776 Fl Firm/Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance pe!icy or its substantial equiva!ent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked Les, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy IN 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:
Signature of Owner or Owner's Agent Owner E) Agent❑
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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142ofthe General laws.
By
Title
Signature 01 Licensed Plumber
City/Town EEB 3 Type of License: Master[X Journeyman❑
APPK0vtu(uvvlcLE License Number 8322
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
r� DATE 19
PLUMBING INSPECTOR