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HomeMy WebLinkAboutMiscellaneous - 687 MASSACHUSETTS AVENUE 4/30/2018 687 MASSACHUSETTS AVENUE 210/059.0-0048 0000'0 2940 MORTp TOWN OF NORTH ANDOVER ):4•�ao 0 PERMIT FOR GAS INSTALLATION s A �+reo �SSACMUSEt po M fhis certifies that . �. . . . . . . . . . . . .:'�. . . . . . :. . . . . . has permission for gas installation : . . . ri. inthe buildings of' ? :. • . • • • • • • • • • • • • A at �7 • . �' s . . . . . . . . . . .. North Andover, MW. Fee- �'. " . . . Lic. No //A; . . . . . . . . . . . . . GAS INSPECTOR WHITE:Applicant CANARY:Building Dept. PINK:Treasurer Y 1 7 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING 0 t !e or print) Date 26 19 NORTH ANDOVER, MASSACHUSETTS Building Locations � G` � "6 � ri�� Permit Amount$ &0 L p((L &kmg-p� Owner's Name New❑ Renovation ® Replacement ❑ Plans Submitted42 ❑ Z z C w a C z —ZZ C z W n L w n w z W x w w C w `" C7 F z F z �_ W L . �. r, a �� W z It i C w a =t '' n � zG C z C v, C z = -t I C C w c W c 4- SU B-BASENT BASEM ENT 1ST. FLOOR 2ND. FLOGR 3RD . FLOOR 4TH . FLOG R 5TH . FLOGR 6T 11 . FLOOR 7T 11 . FLOGR 8TH . FLOG R (Print or typeCheck one: Certificate Installing Company Name \ 0A _ ' Saul ❑ Corp. Address 6t 6t C" Partner. CAAQk M SS;Lq5-) V" O p rt3usiness Telephone ((ow0 ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter j C INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes E] No[3 If you have checked ves,please indicate the type coverage by checking the appropriate box. Liability insurance policy 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 ❑ 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 Perrriitssued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas de and C of the General Laws. By: Signature of Licen ed Plumber Or Gas Fitter Title ® Plumber L City/Town M Gas Fitter License NUftioer ® Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. zi'.:��: •�' Nq 4467 4, TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING �SScHusf� This certifies that . . . . . . . . . . . . . . . . . . . . has permission to perform . . . . . 1. . ?. . . . . . . . . . . . . . . . . . . . . . . . . plumbing in the buildings of . . . !�. �.� �.f/. . . . . . . . . . . . . . . . . . . at . . . . . .��.5" .� . . ? rJ. .�'r�• . . • • . • , North Andover, Mass. Fee. 1.). .' . .Lic. No. . . . . . . . �S. . . . . . . - U PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK: Treasurer MASSACHUSETTS UNIFORM APPR PERMIT TO DO PLUMBING (Type or print) LICATION NORTH ANDOVER,MASSACHUSETTS _ Date 6 � Building Location Owners Name k\pis•ti Permit# Amount b Type of Occupancy . 0-'e'5 � New Renovation Replacement ❑ Plans Submitted Yes El No 0 FIXTURES W Z W a a W H F W �+ ' a F+ d d w W F a Z W F d . — E- a A ❑ a E-+ d z SLREM HA4I�IIVT X M HJ" M HOM 3M Hfm 4M ROCIR SIH HDM 6MHDM 7IH R(XR SIH H-(XR (Print or type) Check one: Certificate Installing Company Name Corp. Address G �" 5� ` Partner. Business Telephone q 7 _ 'IS-T y— 7^-7 � Firm/Co. Name of.Licensed Plumber. �1 t Insurance Coverage. Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy [a Other type of indemnity 11 Bond ❑ 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 Owner 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusettsio. lte P bin Code and Cha142 of the General Laws. By: igna of Licenseaum er Type of Plumbing License Title City/Town ice eaum a Master Journeyman ❑ APPROVED(OFFICE USE ONLY Date. . e'P.- HORTM of �' ° TOWN OF NORTH ANDOVER 40 PERMIT FOR GAS INSTALLATION SACHUSE� This certifies that . ./� has permission for gas installation . . . . . . . . . . . . in the buildings of . .,. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . y. . . -<?. . , North Andover, Mass. Fee. . Lic. No.. .�'A-•o � ��-"I�: . . . . . . 'GAS INSPErGTOFI,,/ Check# ^' v 5221 MASSACHUSETTS UNIFORM APPUCAIDN FOR PERNUr TO DO GAS FTrIIINNG (Type or print) Date 17, I N 10-5 NORTH ANDOVER,MASSACHUSETTS Building Locations (9767 *A�J ��y ;: Permit# Amount$ � �r------ I V oa*� Ai A Owner's Name New Renovation Replacement Plans Submit U � a o U F x 0 o,. O F O o4 WW Cw7 F x F O O w U O vFi F O4 . O• O 0G O w O � A G7 .] U ai � A P. F O 1 SUB-BASEM ENT BASEMENT 1ST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR 6TH . FLOOR 7TH . FLOOR 8TH . FLOOR (Print or t ^�. 1,_"' Check one: Certificate Installing Company Name • rn' �1 �� To C Vrit�1C .6"r Corp. smzorrQ Address _��j&.a Partner. usiness a ep one •t?� a•tL.L Firm/Co. Name of Licensed Plumber or Gas Fitter-l-�Awph M,'IS1` INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes M No If you have checked Yes,please indicate the type coverage by checking the appropriate bo . 13Liability insurance policy Other type of indemnity 0 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. T Check one: ❑ Signature of Owner or Owner's Agent Owner 13 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 unde ermit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State 11 Gas CoM a4Ch4ter 142 of the General Laws. Signature of reensed Plumber Or Gas Fitter By. Title Plumber &14A City/Town Gas Fitter License Nu er © Master APPROVED(OFFICE USE ONLY) [3 Journeyman Date. /� .. . . ... .. NORTH pf 3� TOWN OF NORT ANDOVER O' p PERMIT AS INSTALLATION , • � UCHUS This certifies that . . . . .��... S19 1 h �- .-t. . . . . . . . . . . . . . . . . . . . has permission for gas installation . . .').P.Y.r. I?. . . . . . . . . . . . . . . in the buildings of . .,Axi.a 6% . . . . . . . . . . . . . . . . . . . . . . . . . . . . / k. at . . �z rP-.�. .,�?�, .t.'.f. ? , North Andover, Mass. _ . Fee. �3: . . . . Lic. No..�`.1�. . . . � . D �. y''`�� . . . . . . . r GAS INSPECTOR Check# 1 y 6511 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FPITIlNG (Type or print) Date l0 NORTH ANDOVER, MASSACHUSETTS Building Locations (rr p —71.-& 5' Permit# Amount$ Owner's Name U 0 /✓ New Renovation Replacement Plans Submitted D rA U a W a ° F x y a21c: ' 'W v U w x w pdd v"j °" p., W d w W t/� Q x a C W a W E�+ 0 [�. � x O x r F } m ZO E, w a Ems'„ w SUB-BASEMENT 3 OV > G i W O BASEM ENT t IST. FLOOR 2ND . FLOOR 3RD . FLOOR 4TH . FLOOR 5TH . FLOOR-- 6 T H . LOOR6TH . FLOOR 7TH . FLOOR. 8TH .' FLOOR (Print or type) —,— Nam ® Check Corp.one: Certificate Installing Company e � 1 .� A�/-Pda2�t�Q ®-�— `7'� Address S� do k t6--© /L,( zalr) �� ✓�� Partner. usiness Telep one `p Firm/co. _ Name of Licensed Plumber'or Gas Fitter INSURANCE COVERAGE Check one: 1 have a current liabilityInsurance,rance,poiicy or it's substantial equivalent. Yes E3 If you have checked es please indicate the type coverage by checking the appropriate box No, 13 Liability insurance policy Other type of indemnity .D Bond 13 Owner's Insurance Waiver: l,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. Signature of Owner or Owner's Agent Check one: I hereAgent 1:3 Owner by 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts St de and _apter 1 of the Ge ral Laws. By: Signature of Licensed lumber Or Gas Fitter Title [3--Plumber / City/Towm D Gas Fitter License um N'-bur }� Master _ APPROVED(OFFICE USE ONLY) D Journeyman