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HomeMy WebLinkAboutMiscellaneous - 730 BOXFORD STREET 4/30/2018N_ O w 8 � m m o -i ,_ NORTIy F 9 ,SSACMus� l Date . ,1 A F G y' TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .. i`l �.T . ?` ... ...... ....... . has permission to perform . %��...u��h... rR�:........ . plumbing in the buildings of :.......................... at .. 7 3 v j3 0 }l f= �� i ........ , North Andover, Mass. . Fee .�e -... Lie. No../. -I �.1 . ......... . �^'v �' ...... . IC UMBING INSPECTOR Check # 7955 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location 736i W6,1�/©.•�jl i Owners Name 61? I.4 Al Date / ` - e.7 Type of Occupancy Amount ).0 New Renovation © Replacement Plans Submitted yes � No ❑ i1i TirTi T1� w.. - Installirig.CompanyName �.4�ci!_ Tli= %SLG t Check one: Certificate Address - V/ f31l�Gt>✓ El Corp. / �...�� - n Partner. nusmess telephone Firm/Co. Name of Licensed Plumber. Insurance Coveraee: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy n Other type of inderr� ❑ �d— n' Bond El insurance Insurance Waiver. I, the undersigned, have been made aware that the licensee of this application does not have any one of the above tgnature 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 Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By. tvnN n� i� - ia4ur, -- -- _� u r,umoer Title 'type of Plumbing License lCityrrown S" X10 cense umoer Mantf.T❑ Journeyman APPROVED (o�cs USE ONLY Lam_ Date................ ... HORT1, 32 °` TOWN OF NORTH ANDOVER - PERMIT FOR GAS INSTALLATION ,SsACMUSES _ This certifies that `. (.' ......... has permission for gas installation ........... in the buildings of . '��?"f ............................. . at ..... .--4P.1 ........ , North Andover, Mass. Fee':7' ..... Lic. No 9Ga... \,.!.. ? .......... IN-,E TOR Check # 6530 MASSACHUSETTS UNIFORM APPUCATON FOR PERMIT TO DO GAS FITTING (Type or print) Date , ' NORTH ANDOVER, MASSACHUSETTS Building Locations— e Permit# ��30 v0�� Owner's Name Amount$ � New RenovationD Replacement � Plans Submitted D Certific a lin Company Address I � 1 "Qf 1� tat . �/� U- P—IL4 PYliaC)l � n Partner. Business a ep one _938-- � _ � DFirm/Co. Name of Licensed Plumber'or Gas Fitter S11. fir) rel �� �, INSURANCE COVERAGE I have a current liability Insuranceopolicy or it's substantial equivalent. Check one: If you have checked 3Lqs, please indicate the type coverage by checking the appropriates 13 No 13 • Liability insurance policy 1 Other type of indemnity 13 Bond 13 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. • Signature of Owner or Owner's Agent Check one: Owner 13 Agent13 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 perfo der Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State G Code 142 of the General Laws. -.7- Title City/Town; APPROVED (OFFICE USE ONLY) X19 to 01 L1=E!D i.P Or Gas Fitter Plumber Gas Fitter L I ,,,um er Journeyman /Date./"' -. ....- ../70'6 ..... TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .......... has permission to perform ...... plumbing in the buildings of ....................... at ... Po North Andover, Mass. Fed . A ..... L'c. No.... . .....I . ............... PLUMB?N�G INSPECTOR Check At 7839 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MA ,,��SSACHUSETTS q / Building Location %20 (c70)C4 A S� Owners NameDate �Y` k Permit # 3 Amount P� "d Type of Occupancy New Renovation ri Replacement' El Plans Submitted Yes No rl lP TY7'TTID tL1c (Print or type) Check ow: Certificate Installing Company Name_ _ tic CA AIG (/A/(_IM C 7;t� j Corp. Address FG,l a�e �N<�i� l rz ►iI /jam Ck�fj ❑ Partner. usmess Telephone G�j�_ g�8 —`tea p rl Firm/Co. Name of Licensed Plumber: G)rn e- ( i p Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Insurance Waiver: L the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance C2,gnature IOwner ❑ Agent 11 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 RerfinqnBd under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State um in d Chapter 142 of the General Laws. By igna o er Title Type of Plumbing License S City/Town APPROVED (OFFICE USE ONLY icense um er L Master j-�(J Journeyman ❑ APPR 36, cru