HomeMy WebLinkAboutMiscellaneous - 59 MARBLEHEAD STREET 4/30/2018 (2) 59 MARBLEHEAD STREET
210/008.0-0015-0000.0
1 �
i
i
Date
4, TOWN OF NORTH ANDOVER
0-
*
PERMIT FOR PLUMBING
.
�sSCHUS
This certifies that . . .f . . . . . . . . . . . .
has permission to perform . . . . �� . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of . . V.1.1 . . . . . . . . . . . . . . . . . . .
at. . . . ?!gn y�. r.`*. .!➢. `� . . . . . . . . ., North Andover, Mass.
Fee. V. . . . .Lic. No.k 3.? .� . . . . . . . . . /
PLUMBING INSPECTOR
Check # Li 5 t
5467
3 �
S MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Mass. Date -0Q Permit #_
Building Location�,�� nr��P�IO�D�-fkJ Owner's Name )a
Type of Occupancy_—,esl'dential
New [] Renovation LJ Replacement Plans Submitted: Yes ❑ No O
FIXTURES UU
�1 z U)
Z x r O W
P n Ln rn O Z
w U a n,
'J7 Z N 4 R. z N Z W Z 2 : d .}1 4-� •t•)
V, W N n z ¢to 1- U w Y a 1 a C 3 rtf rtj rT1
U z K CO Q N w >. L r- a' o a m L a a ¢
CIC ur o ? w a N p J ur ¢ rt J o a
LU o LU u y
r U �t F o = a z o a w i z W ) C U N H
S N N 4 a C a J J a ¢ x rz a C a 4J 31
x X J (A N O p J � = I- N LL C7 O a l- a]
v
SUB—BS MT.
BASEMENT
IST FLOUR
2NDFLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TH FLOOR
STH FLOOR
Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one: Certificate
Address 3-5--Fle. aunt Street [X Corporation 714
Stoneham, Ma 02180 [] Partnership
Business Telephone781=4-3Q7- 7 76— F1 Firm/Co. _
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurnce policy or its substantial equivalent which meets the requirements.of MGL Ch. 142.
Yes NJ No 1-1
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy 0 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 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 142 f file f eneral Laws.
By AL77
Sig ure of icensedPlumber
Title
Type of Liconse: Master [X Journeyman 0
City/Town_ 8 3 2 2
APPROVED IUFFICE UvSE ONLY) License Number-_____..___—___ _
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