HomeMy WebLinkAboutMiscellaneous - 78 JEFFERSON STREET 4/30/2018 (5)Date.
NORTH TOWN OF NORTH ANDOVER
.0 0. PERMIT FOR PLUMBING
4 4
o
D
,SSACMUS
This certifies that ... PA. ...................
has permission to perform ...t,..A— C k .................
plumbing in the buildings of ... .. AY ........
at .... North Andover, Mass.
F 73'
ee. Lic. ..... . .......
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PLUMBING INSPECTOR
Check #
8659
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
Date
Building Location s L1—C—gay S*- Permit #
Amount
Owner (�Q��2, i9'►I�Ih11,G�-t=L�c�'� �'Arir.�l�f%�P2
New■ Renovation
Replacement ■
Plans• _ 1 Yes ■ No
FIXTURES
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a
� i ilk
--------------�®---------
(Print or type)
Check • .Certificate
installing Company
• 1
ff
11 I.0 r� I• '
r
i
E] Partner.
Business Telephone,;7&/—
Firm/Co.
of Licensed Plumber: ap
-b A 9, L -,A
Coverage:Name
Insurance Indicate/ " ofinsurance coverageby checking / •
insurance policy 0-��
Other type of indemnity
E] Bond
InsuranceLiability
the undersigned, _ been • _ awarethat the licensee • / / • does • • - ofthe above
insurance
Signaturethree
Owner ■ Agent
■
1 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 �gna ure ort—ic—e—n—se—dMurnoer
Title
Type of Plumbing License
-
City/Town se um%r� Mas� Journeyman 42S>0
ter
e�•
APPROVED (OFFICE USE ONLY icen
Andrew DaSilva
Plumbing Manager.
Account Executive
ProCare_
3 North Maple Street
I".
Woburn, MA 01801
Ph: 781-933-7400
Fax: 781-933-1222
= Cell:617-828-8740.
"Restoring homes, businesses
andrew@pro-careinc.com
and lives since,198; ;� . �
., www_pro-careinc.com '
Fire Water?
Mold ]Plumbing "
i
OUR: SERViCES
Emereencv Services'-
Structural Reaaics
Plumbine/Heatine -
Water Extraction
Aeettock/Plaster
Gas Fitting
-Sewer Back Ups
;.Pdinting
Heating Repairs.
structural Drying
Carpentry,,
Boiler Installation
Mold Remediation J,`
Roofing
Service/Repair
Deodorization =
Flooring " ..
Water Heater Replacement
Soot Retnoval/Cleaning ._
Drain Clemting, .;
24-Hour Emergency Service
800-660-1973
v Date . ........! ........
40R TOWN OF NORTH ANDOVER
,e6�0
O PERMIT FOR GAS INSTALLATION
� FA
� s i
'J SgACMUSE
This certifies that ...`....................................... .
has permission for gas installation ............................
in the buildings of ..........................................
at ................................... . North Andover, Mass.
Fee. .+....... Lic. No........... ..........................
GAS INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer GOLD: File
MASSACF, JSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
C NORTH ANDOVER Mass. Date
_ Buildina Location %P J cffC-?S01V s7 Permit #
Owners Name %1/,P, /y)uSGRAyc
New 77 Renovation Replacement Plans Submitted /1/0
.y FI. -
–1,oc -
(Print or Type)
Check one: Certificate
Installing Company Name 601 A'C#71-702
to-tQ Corp.
Address 223,2 Ifii�'^�
S'%t
Partner.
Mel*
F—f Firm/Co.
Business Telephone:
rn
Name of Licensed Plumber or Gas Fitter,%/�:Av�t
Insurance Coverage:
Indicate the type
of i.-isurance coverage by checking the
appropriate box:
Liability insurance policy
� Other type of indemnity F --j 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 coverages.
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BASEMENT
IST FLOOR
2ND FLOOR
3RD FLOOR
4TH FLOOR
5TH FLOOR
6TH FLOOR
7TRFLOOR
STH FLOOR
-
(Print or Type)
Check one: Certificate
Installing Company Name 601 A'C#71-702
to-tQ Corp.
Address 223,2 Ifii�'^�
S'%t
Partner.
Mel*
F—f Firm/Co.
Business Telephone:
q 75-X222 1
Name of Licensed Plumber or Gas Fitter,%/�:Av�t
Insurance Coverage:
Indicate the type
of i.-isurance coverage by checking the
appropriate box:
Liability insurance policy
� Other type of indemnity F --j 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 coverages.
ignature of owner/agent of property Owner U Agent ED
I hereby certify that ail of the details and information 1 have submitted (or entered) in above application are true and accurate to the best of my
knowledge and that aU plumbing work and installations performed under Permit issued for this application will -be in compliance with all pertinent
provisions of tho Matsachusetts State Gas Code and Chapter 141 of tho Genera! Laws.
By
Title
City/Town:
APPROVED (OFFICE USE ONLY)
TYPE LICENSE: `9�2' _
Plumber
Gasfitter Signature of Licensed
Master Plumber or Gasfitter
ourneyman 2 OX35
License Number