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Home My WebLink AboutMiscellaneous - 59 COCHICHEWICK DRIVE 4/30/2018 � -s9 � chic kcwick. led-, BMLWHG RLE it •��a�An TtV+'' t{zl APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit # :3o� X04-030Y T 3o4 ao4jD ADDRESS/LOCATION OF PROPERTY : 51 :' 61 Ccc li I(_*I4,�t,�s)(-,l< R Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00)WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET PPLICABLE CODES. SIGNED ROUTING I"`�1AtCCp RVATI. A v0#NIER�rATI.0N PLANNING DPW -WATER-METER yrs ME—'&5 SEWERMATER CONNECTION F7 NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR"ro SUBMITTAL-OF THE OCCUPANCYIINSPECTION REQUEST DPW Signature File: OC form revised 2006 f CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 304C Date: January 12, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 59 Cochickewick Drive MAY BE OCCUPIED AS Attached Town House ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND SUCH OTHER REGULATIONS AS MAY APPLY. Certificate Issued to: Cameron Hall LLC 865 Turnpike Street North over MA 01845 wilding Inspector NORT11 of :��_ __ Andoyer . .: . ! O No * _ x_ L A E o dover, Mass., �O COCHICMEWICK ORATED PP .(`� S ` BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THATlIM......................T/1A IN�Ir. .....��vl/VC�a, r� Foundation . has permission to erect.........,..i......................... buildings on ..............,I '.... ec. a►�t .I4* _._ouh � 71110ACd to be occupied as A.**cAft 4j. o w^ 403 %4 Chimney ............ .... ......... ........................................................................................ provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final ` `0LO� this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. (W7 PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids thisler it. Rougher �! C•�� I XP IN MONTH ' (�'� � d PERMIT EXPIRES 6 S ELECTRICAL INSPECTOR C01*1'0r*"j4JNLESS CONSTRUCT ARTS _ vw � ... ..................... ..... ........... .... Service ... . .. .... .. BUILDING INSPECTOR Occupancy Permit Required to Occupy Building GAS INSPECTOR J Dis la in a Conspicuous Place on the Premises — Roug p y p e ses Do Not Remove No Lathing or Dry Wall To Be Done FIRf DEPARTMENT a Until Inspected and Approved by the Building Inspector. Burner.AW Street No. SEE REVERSE SIDE Smoke Det. f F t••�i i 4 � tai•....C� CERTIFICATE OF USE & OCCUPANCY TOWN OF NORTH ANDOVER Building Permit Number 3040 Date: JanugU 12, 2007 THIS CERTIFIES THAT THE BUILDING LOCATED ON 59 Cochickewick Drive MAY BE OCCUPIED AS Attached Town House ACCORDANCE WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND.SUCH OTHER REGULATIONS AS MAY APPLY. 6 O amion Hall LLC Certificate Issued to. C � 865 h=ike Street North Andover MA 01845 Building Inspector I r t4ORT1y , �,)o of 0 . -K1 4 44 No. 30--'�Q Z dover, Mass. COCHICHEWICK V 7,9 AERATED iiCC7 `S BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System ��p� 1Nt� �N L�� BUILDING INSPECTOR THIS CERTIFIES THAT• .....................................7-^................. ..... `P...........�a..T..T.................... Foundation 2 has permission to erect....................................... buildings on ..............,�a.....9 ....0'C4'I��o�r1C ..... C to be occupied as............ ... ....... W ..... .V s.. ' '.............................................. Chimney ' provided that the person accepting this permit.shall'in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 4r -*�'/ *I PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids thisPer it: Rough /C Coo+#* EXPIRES IN 6 MONTHS '07 '-2t V PERMIT ELECTRICAL INSPECTOR C�wti ` LESS CONSTRU N ART0 S _ _� (f! OU 6......................... .... Service BUILDING INSPECTOR ina ®/�� Occupancy Permit Required to Occupy Building GAS INSPECTOR "F;, Display in a Conspicuous Place on the Premises . Do Not Remove No Lathing or Dry Wall To Be Done FIR DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner s j Street No. l =' SEE REVERSE SIDE Smoke Det. I : , i jAORTH � , n�S`"xo `a•`�yQ ` �SSAC14US Rah APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION Building Permit# 3a� p4- .3o y 304 C_ d. soft ADDRESS/LOCATION OF PROPERTY : ,51 61 22C 4ICUct k �� Map Parcel Lot Number SUBDIVISION DATE REQUESTED FILED/READY Q FOR INSPECTION CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A RE- INSPECTION FEE OF TWENTY DOLLARS $20.00) WILL BE CHARGED IF THE STRUCTURE i DOES NOT MEETALL-APPLICABLE CODES. SIGNED ROUTING rIS T� N 71s �►ON�ER�a,.O.= PLANNING DPW - WATER METER Rig 1 / 3/07 6 M i-T—m'R5 SEWER/WATER CONNECTION NOTE DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTA OF THE OCCUPANCY/INSPECTION REQUEST DPW W1 Signature File: OC form revised 2006 NORTIy omm Of _ � 4Andover No. 304 o a- dover, Mass., COCLA HICHEWICK 7�S RATED p'P G,`�5 �i BOARD OF HEALTH PERMIT T D Food/Kitchen Septic System THIS CERTIFIES THAT s1r ..... N.~tom. �NC�a �'� BUILDING INSPECTOR "� " """""""" Foundation has permission to erect............ ....... buildings on �0.'e.; le�� Rough .................. .............. . .. .................................... to be occupied as............A:?!!A 4*4........ .....�.WA.#A.............................................. Chimney provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. 4 Jam'/ *I Fermit. PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Rough Coo+00 ( PERMIT IN 6 MONTHS Final d PERMIT E ELECTRICAL INSPECTOR C%)q*1+0qN0V ��LESS CONSTRU N ARTS A41C, ... Rough ........ . ........... ... .................... .. Service BUILDING INSPECTOR Final Occupancy Permit Required to. Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final - — -- — — — _ — o Lathing- or-Dry Wall- To- Be vane -- - — — — — FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE Smoke Det. 191 Date. . 1 I I I MASSACHUSEM UNIFORM APPLICATON FOR PERNffr TO DO GAS HTVNG, (Type or print) Date '71101 6 NORTH ANDOVER,MASSACHUSETTS Building Locations \� Permit# ,, Amount$ Z Y O NKV'1\01JlbT ell P Owner's Name--10'p^- 1 V�11Vy1 4'�/ �ti�in I Ne1Q Renovation Replacement ❑ Plans Submitted W � i x gg a OE-4 E~ a v� x H z z F x LW7 F z F z E+ W W tW7 w N U94 a vwW� O w 3 a F O SUB -BASEMENT A 0 a UO a BASEM ENT 1ST. FLOOR 2ND. FLOOR i i � 3RD . FLOOR I . 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 1 7TH . FLOOR STH . FLOOR , I (Print or typ Ch one: i icate Installing Company Name �Z orp i z� Address APartner. Business Te ep one Firm/Co. Name of Licensed Plumber or Gas Fitter j INSURANCE COVERAGE Check o : j I have a current liability Insurance policy or it's substantial equivalent. Yes No 0- If you have checked Les,p as indicate the type coverage by checking the appropriate b . Liability insurance policy Other type of indemnity 1:1 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 g g Owner 13 Agent I hereby certify that all of the details and information I have submitte ntered)in above application are true and accurate to�the best of my knowledge and that all plumbing work and installati s perfor e ider Permit Issued for this application will be in� compliance.with all pertinent provisions of the Massachusett State G de d Chapter 142 of the General Laws. I Signature of Licensed Plumer Gas Fitter / l B l bI Tittle Plumber City/Town Gas Fitter License Number Master APPROVED(OFFICE USE ONLY) �` Journeyman I I I � Date..:�...l:..G�'........ &ORT" °f. °:• TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACMUS� This certifies that ......./zF.c-u. ..... .t: `-"'............ ................................ has permission to perform ��" �� -.-: - - -r................... wiring in the building of.... ............................... at .r t-�--:�r� .�,. �.��/.. .....�,North Andover,Mass. Fees-'��.!s�.... Lic.No:32�� rr.......%.. � .. .� / ........... s• , ELECTRICAL INSPB�C�/ Check # 6 aY nweaith of F � F Depart Massachusetts <; ntOf BOARD Fire S ofl; OF FIRE PREY Service, Permit No. use only (pL APPLICATION F ELATION REGULATIONS Occupanc 1 ' EASE p 7 rk to be Perforrne OR PERMIT TO Rev. 11/99 and Fee Checked,,6 r� K 'n accords I� d $ City or To OR TEAr�C?R4LIT"o,"°e With the ERFORM (leave blank) _ Y this app]ication the Wp of. ssachusetts ElectricaELE(MTRICq wOLLocation undersid i. l / �C), 27 Owner or(Street&Number gives notice of Date: e.. R 12.o0RK ant ) his or her intentio TO the jn I owner)s Address ��`C/� i C n to perforin the Spector o.fW41 electrical es; Is this Permit ��l C work described Permit in con• �� d below. Pur•Pose of function with a /v ,�Z-/a Building bill din 'Existing Ing Permit? Yes Telephone No g Service New Se Amps No ❑ ,vice / Utilit (Check A 1 Number ofF Amps l�170lts Overhead Y Authorization N PproPriate Box Feeders and Am / ❑ o ) Location and Nature Pacity_volt, Overlie Undgrd❑ of ProPosed ad❑ No. Electric Un ❑ oflyeters al Fork: ' 1 No. of n'Ieters , No. of RecessedI Fixtures ! LA0' of CO"r J Lighting Outlets N °f Ceil.-Sus letton o the ollowin No.of P (Paddle table ma Lighting Fixtures No. )Fans No.of be waived b of got Tub the No. of Rece Swi s Transfor I"s Oro Wires Ptacle morin A niers Tota! Outlets g Pool Bove ❑ In- Generators K�'A No. of Switches rnd. No. No. of Oil Burners rnd. ❑ 0.0 KVO Of Ranges No. of Gas Batte UnrtgencY 'g Ing ! No. Burners FIRE AL No. of waste Disposers LA0'°f Air Coad Tota! No.of Detect o Sa No'°f Zones I ° Dishwas hers eat Tons Initiatin DeVices I Totarlsp Number Tons KW No- of Ale 1 No• of Dryers Space/ rtrag Devices 0. of Water Area Heating KW No' Of self- Neati Deo. Of rued i Heaters ng Appliances Devices I No,g dr K W No. of Local ❑ Municipal OT Y omassage Bathtubs Si ns No. o fKW security Sy ennection No. ms: Other NEfz; Ballasts of Devices or E No. of Motors Data INS Tot No ming; uivalent j NCE COV al gP Tele No.of Devices or the licensee mmanicatio E uivalent undersi prOytdes Proof GE' Unless waived b LA0•of Devices or wrring: �'rted certir,,es that Ofliab;lit by owner 9//achadd,- - rotde,aiti E uivalent CNEC such Y insurance;nclu 'n°permit for the /Qesire f K ONE: 11\1SURANCE coverage is in force ding c"UPleted performance b oras re Esti , BOA 'and has exhibited operatic, 9uired ythelns Estimated ❑ of electrical Value of Proof Covera work may Pectorofyrires. Electrical OTHER ofsame t ge°r its substant;al e Y issue Work to Start: Work: ❑ (Specify.) °the per quivale unless mit ise wing office. nt• The I certrfy, under t/repa irs (When /QF FIR]�j aspect;o NAME: audperalries o ns to be requested � required by manic; � 11 Licensee: % �r"Y,t/Jatthe in accordance pal policy) (Exp tion I , with Date) (fappllcable, � utfO ,ratio,, MEC 1Zu1 enter / l� this a e l 0,and u OWNER 117 i,r the lic Pplicatior is tr Pon c°mPletio J W. I INS enSe nu'nber line Signature �C ��ue and complete. n required URANC bylaw. BYm E WAIVER , LIC.NO.:S••�/11�C� 'gnatuAgent Ysignature lam aware LIC. gnature below that the Lice NO•: 7BZ I f hereby waive this re nsee does not hav Bus. Tel.No. 47,C quirement e the liab-1- Alt' Tel No.• -�eS Telephone No. 1 a,n the(check one)insurance ner covers ,mall rage no ❑Owner' Y pER1YIIT FEE• �-� �gent. Date. + " a�.•��' •��c TOWN OF NORTH ANDOVER o PERMIT FOR PLUMBING 104 This certifies that . . . . . . . has permission to perform piumbingl n the buildings of—.,-," `^. . ... . at. . . . --- �"=-..'. : -. _ !`/` ;"North Andover, Mass. f, fIre Fee/ �.d Lic. No.. . . . . . . . .. :'�='. � �L ... . . . . . . . . . . . . PLUMBING INSPECTOR Check # 7 6 8 u 3— Generators Residential & c each additional meter..$10.00 TOWN OF ANDOVER Commercial:.:. Sewer Ejection-Pum :-$25.00 _. ELECTRICAL PERMIT FEES a) including photovoltaic& Signs: $25.00 each ballast L (Effective March 12 2003) generating Equip Per KVA $1.00 Smoke & Heat Detectors & IVIINiMUM PERMIT;FEES b ower un-interruptible systems, p PInitiating Devices: k .� RESIDENTIAL $25'0,0 per KVA $1.00 Residential: $1.00 each COMMERCIAL $50:00 c)batteries over 100 amp. hours,per Commercial: $60.00 up to 10 NO SE CABLE ON cell $1.00 devices over 10-$1.00 each OUTSIDE OF BUILDING Heat Devices: $1.00 each Space Heaters: { Air Conditioners: $40.00 each Heat Pumps: $40.00 each area heating$1.00 each Alarm Systems Security: (for fire Hydro-Massage Bathtubs/Hot Sub-Panel: $25.00 systems see smoke/heat detectors) Tubs: $20.00 each Swimming Pools: Residential: $40.00 Lighting Fixtures $1.00 each Residential: Commercial: up to 10 Devices Lighting Outlets: $1.00 each Above Ground: $25.00 $60.00 additional devices over 10- Major Appliances: (not listed) Inground: $50.00 $1.00 each $20 each Commercial Pool: $100.00 Carnival Equipment: $50.00 each Motors: (per hp or fractional part Switches: $1.00 each Ceiling Fans: $1.00 each thereof) $2.00 Temporary Service: I Oil/Gas Burners: Ntust have l tility Authorization Number Commercial New Construction or h 00 l $20 ti id 'Residential$25.00 esena . each Alterations: Ri $100.00 per 1,000 Sq. Ft. of Commercial$20.00 each Commercial $100.00 Office Furnishings: Per circuit $10 Transformers: Construction Space Commercial Service Change/ (Relocatable Partitions/Cubicles) a) capacitors, Per KVA $1.00.' Repair: Outlets & Fixture: $1.00 each b) ducts,conduit&conductors iMnst have Utility Attthorization Number Ovens Built in/Counter Top Units: (Associated w/Padmount Transformers) $25 $100 (first 100 amperes or fraction,one $10.00 each c) each manhole$10.00 meter) Panel Change/Circuit Breaker: d) each handhold$5.00 a) each additional 100 amperes Residential: $20.00 e)per KVA$1.00 capacity or fraction. $30.00 Commercial: $25.00 0 primary feeders, $25.00 each over b each additional meter$25.00Phone Jacks: See 600 volts,non-utility owned) g) vaults and equip. $25.00 each Commercial Temporary Service: data/telecommunication Washers: $15.00 each $100.00 Ranges $15.00 each Must have litilitv.Authorization Ntimber Receptacle Outlets: $1.00 each Waste Disposals: $5.00 each I Commercial Repair and/orWater Heaters: $30.00 each I Recessed Fixtures: $1.00 each Maintenance Permit: (Blanket Re-inspection Fee: $25.00 Permit)up to 2 Electricians $150.00 *For 11�'IIIIti-Family Repair to Service Residential: per pair of Electricians over 2 $50.00 p $20.00 1.ar ge Commercial ISI oject Data/Telecommunication: I Residential: $1.00 per port Residential New Construction flee Wiring Inspector for (Dwelling): $220.00 Commercial: $30.00 up to 10 pricing: devices over 10-$1.00 each (with service up to 200 amps) Il•tust have Utility Authorization Number Paul KeI2nedv (978) 623-8306 Dishwashers & Disposals: for services over 200 amps see below (Office Hours 8 ani to 1.0 ani) $5.00 Each a) for each 100 amps capacity or Dryers: $15.00 Each fraction add $20.00 *.Inspection ,, Scl�t,Clue:l Emergency Lighting(Battery Units) b) each additional meter$10.00 $ 1.00 each unit c 1 RCS I._,G UI P P each additional panel/sub panel � Feeders or Sub-feeders: $25.00 I. I'INAI-0 each 100 amp capacity of fraction Residential Additions/Alterations: 1 TRENCH (1l applicable) thereof Residential: $5.00 each $220.00 maximum or Residential Service Change Commercial: $15.00 each g ADDITIONAL i Gas/Oil Burners: Underground Service: INSPECTIONS $40.00 *S25.0 ' (if Residential: $20.00 each Must have Utility Authorization Number applicable) Commercial $20.00 each a) one meter,up to 100 amp capacity $40.00 (revised 07/05) b) each additional 100 amp capacity R or fraction $20.00 Commonwealth of Massachusetts Official.U�senly /.O ' � Permit No. Department of Fire Services i' Occupancy and Fee Checked 7 I' l BOARD OF FIRE PREVENTION REGULATIONS [Rev. 11/991 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 27 R 12.00 (PLEASE PRINT IN INK OR TYP AL FORMATION Date: City or Town of: E / p)D�F To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street& Number) I' C,r2 f to j C,IC 2 Owner or Tenant / - Ni'c-A t 70A�� ! tj Telephone No. Owner's Address Is this permit in conjunction with a but ding permit? YesNo E] (Check Appropriate Box) Purpose of Building Utility Authorization No. I Existing Service Amps / Volts Overhead❑ Undgrd❑ No. of Meters New Service Amps / Volts Overhead❑ Undgrd ❑ No.of Meters I Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: u Completion.othefollowing table may be waived by theInspector of Wires. i No. of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total I Transformers KVA No.of Lighting Outlets No.of Hot Tubs Generators KVA Above In- NO-7-01 Emergency tg mg No.of Lighting Fixtures Swimming Pool rnd. ❑ rnd. ❑ Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total Tons g No.of Alerting Devices No.of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained Totals: I I Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Connection No.of Dryers Heating Appliances KW Security Systems: No.of Devices or Equivalent No. of Water No.of No.of Heaters KW Data Wiring: Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless 4 the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office. + CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) ��/"r��/(�ri(J/Q % Qj Estimated Value of Electrical Work: (When required by municipal policy (Expition Date).) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. I certify, under the pans and penalties o "jury,that the infioyynattoi:^this applicatio is true and complete. Q FIRM NAME: LIC.NO.:.S'7bz / Licensee: Signature LIC.NO:: 76?—c C (If applicable,enter "exempt"in the license number line.) Bus.Tel.No.&T Address: Alt.Tel.No.: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one)❑owner ❑ owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:,$ M MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING IrV (Type or print) 0 NORTH ANDOVER,MASSACHUSETTS Date Building Location e.0C V(„ \JQL , Owners Name kn Y4 . d. Permit# Q Amount — Lft 7-- T e of Occupancy New Renovation Replacement Plans Submitted Yes No FIXTURES z o w Z CCx o a a w w 3 x w UF, o w z z a a o H N a A A a COD > xz a z c w d A � x aha SMBM BASE INf Ib'>C H—OOR -TT + Za FLOOR 3M FLOOR 4IH FLOOR 5M FLOOR 6M FL" 7IIi H M SIH FLOOR (Print or type) Check one: Certificate Installing Company NameQY jy&Xjj`n Corp. Address V' "� Partner. Business p` one o Firm/Co. ;� • Name of Licensed Plumber: `�� Insurance Covera e: Indic t type of insurance coverage by checking the appropriate box: Liability insurance policyUq Other type of indemnity ❑ Bond ❑ t Insurance Waiver: I,the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance signature Asubitted Agent ❑ I hereby certify that all of the details and information I hnt red)in above applicationare true and accurate to the best of my knowledge and that all plumbing work and inunder Permit Issued for this application will be in compliance with all pertinent provisions of the Massachuin Code and Chapter 142 of the General Laws. By' igna ure oicense um er Title e of Plumbing License City/Town rcense NumDer Master ❑ Journeyman APPROVED(OFFICE USE ONLY