HomeMy WebLinkAboutMiscellaneous - 70 FLAGSHIP DRIVE 4/30/2018 (5) � Ca
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1.VA,TER SUPPL` /DENIAND GRAPH
Pharm-Eco Solvent Storage Room P008 10/6/98
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TOWN OF NORTH ANDOVER
3? '� OCL
PERMIT FOR PLUMBING
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,SSACHUS�
r This certifies that . . . . . . . . . . . . . . . . : . . . . . . . . . . . . . . . . . . . . . . . . .
has permission to perform : =-=tom ` . .—`1.. . . . . . . . . . . . . .
plumbing/in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at. . . ?. . . . .-. ` . . . . . , North Andover, Mass.
Fee . ... . .Lic. No.. �.`�
4 �,. . . . . . . . . . . .
PLUM IN INSPECTOR
Check #
55 ) 5
77
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77
• �',� r MASSAGHUSET 'S UNIFORM APPLICATION FOR PERMIT TO.DOPLUMBING
(print or.Type)11t,,F
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f"+P, Mass. 'Date 2' Z ��� 5 Permit �� i
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si Lo�tlort, '1P�1 1146.5 ► P �2ty—• �0 er's Name_ R M—P.C.€ '
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Type of Occupancy ✓!
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N' s 6❑ Renovation, ❑ Replacement �0 Plans Submitted: Yes❑ .wf.No
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SEWER# FIXTURES SEPTIC#
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SUB-83MT.
. 1 BASEMENT
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3RD F OOR ;AF, �� }
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sdTH FLOOR
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;8TH 'FLOOR � �q. �a� � M,
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4411 Fr i� r P Check one: Certificate # "„
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.Name Llser2sed Plumber -
Iasu CE COVERAGE:
isgave curve Ilabgity Insurance policy or Its substantial equivalent which meets the requirements of MGL'
t- :Yes ;- No ❑ Ch. 142.
if you ve c ed•yg�. please Indicate the
�� .:,,:f1�,,�,;�;•4 , }�. , ,�.�. ` „s type coverage by checking the appropriate box.'
A Ilabli insurance 1
policy Other type of Indemnity ❑ Bond ❑
OWNER'S INSURANCE WAVER. I^am aware that the licensee does no
Fk t have the Insurance coverage required by
Chapt r 142 of the Mass General Laws. and that my signature on this permit application waives this requirement.
Check one:
Signature"of owner or Owners ent Owner ❑ Agent❑
i hereby�oertlN that ail'of the details and information I have submitted(or entered)In above application are true a
p knowledge and that all plumbing work and Installations performed under the permit Issued for this and accurate li the best al my
h4; pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Lawspllcation will be in compliance with all
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A. Ci�;/Town UL
Type of License: Master Journeyman(]
#' License Number 7