HomeMy WebLinkAboutMiscellaneous - 8 MORTON STREET 4/30/2018N
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<��•° -.'�o TOWN OF NORTH ANDOVER
p PERMIT FOR PLUMBING
This certifies thatr/t
has permission to perform ..% t .�� !• , t' .. p ..k ........ t .
plumbing in the buildings of ... vaj. S. f AN ..................
at .......-,,.... S .1........... , North Andover, Mass.
Fee .%--W . Lic. No.1 �)O ...
PLUMBING INSPECTOR
Check # r% U
8704
7395 Date.....
1 1
V- oto ,e�'ryO
TOWN OF NORTH ANDOVER
` PERMIT FOR GAS INSTALLATION
• :.
SSACHUSE
This certifies that
has permission for gas installation .. i
in the buildings f . Y { 3, r � , , , , , .
at ...,�..<........ , North Andover.
Fe.,4..S () . Lic. No.
Check #� t / �') (' .
'GASINSPECTOR
FIXTI IRFS
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
City/Town:-M, AJYb00E--f), MA. Date: 0 Permit#
Building Location: Owners Name: 110t,51 Aj.E
Type of Occupancy: Commercial ❑ Educational ❑
Industrial ❑ Institutional ❑ Residential [�--
DEDICATED
New: ❑ Alteration: ❑ Renovation: ❑ Replacement: [�' Plans Submitted: Yes ❑ No ❑
FIXTI IRFS
INSURANCE COVERAGE:
I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes Er -No q If you have checked Y, es, please indicate the type of coverage by checking the appropriate box below.
A 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
1 6......L. _._ _..
--, -, •••, •• •�. a•• ..� .��� .,�.a--� a. -u -munnaatte
on i nave suomIa for enterea) regarding this application are true and accurate to the best of my
Know",and that alt pfumbiM work and installations oerfarm-d r►ndor Ow- ru—rmif kel-c.r f- fhi. c,a :.. ,.,,.....4 ---Aim -11
•.......... w• . •.-aaam.nuavua orate rwmomg voce ano Gnapter )4Z or the General Laws.
By Type of License:
Title Blolumber Si t f Licensed Plumber
Cit®'Master
APPROVPROV ED (OFFICE USE ONLY) ❑JOumeyman L-iCenSe Number: ��j.
DEDICATED
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Check One Only
Certificate #
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Address:91
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State: ! , ,
❑ Partnership
Business Tel J?T �p�f�-3 Fax:
ElFirm/Company
Name of Licensed Plumber:f
INSURANCE COVERAGE:
I have a current liabilityinsurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142 Yes Er -No q If you have checked Y, es, please indicate the type of coverage by checking the appropriate box below.
A 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
Massachusetts General Laws, and that my signature on this permit application waives this requirement
Check One Only
Owner ❑ Agent ❑
Signature of Owner or Owner's Agent
1 6......L. _._ _..
--, -, •••, •• •�. a•• ..� .��� .,�.a--� a. -u -munnaatte
on i nave suomIa for enterea) regarding this application are true and accurate to the best of my
Know",and that alt pfumbiM work and installations oerfarm-d r►ndor Ow- ru—rmif kel-c.r f- fhi. c,a :.. ,.,,.....4 ---Aim -11
•.......... w• . •.-aaam.nuavua orate rwmomg voce ano Gnapter )4Z or the General Laws.
By Type of License:
Title Blolumber Si t f Licensed Plumber
Cit®'Master
APPROVPROV ED (OFFICE USE ONLY) ❑JOumeyman L-iCenSe Number: ��j.
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
1 A-IJI)WET) ,.Mass. Date 20 /0 Permit#
3'2�1 Building Location Owner's Name Vdi / 3z 16,6-
live
TA42 ST Type of Occupancy Rr7. "�/'p
New ❑ Renovation f1 Renlncement rat' Plane giihmiff-A- V.. rn
C�
lnstaHmg Company Name
Address 41 %airs! i
Business Telephone
Name of Licensed Plumber or Gasfitter
COVERAGE:
Check one:
p -Corporation
❑ Partnership
❑ Firm/Co.
No ❑
Certificate
")-?L70
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL
h. 142 Yes -fl— No ❑
you have checked yes> please indicate the type of coverage by checking the appropriate box.
liability insurance policy J:2Other type of indemnity ❑ Bond ❑
VNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required
Chapter 142 of the TVIGL, and that my signature on this permit application waives this requirement.
of Owner or Owner's
Owner
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 po ed under the
permit issued for this application will be in compliance with all pertinent provisions of the s hus tts State
Gas Code and Chapter 142 of the General Laws.
By Typeof Uccle:,
Title B—Plumber E3Master Signa ;/, o tensed Plumber/Gasfitter
City/Town ❑ Gasfitter ❑ Joumeyman License umber
APPROVED OFFICE USE ONLY)
•
01•
SUB-BASENMNT
were
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61 glen* 42 1 DIVA 12
lnstaHmg Company Name
Address 41 %airs! i
Business Telephone
Name of Licensed Plumber or Gasfitter
COVERAGE:
Check one:
p -Corporation
❑ Partnership
❑ Firm/Co.
No ❑
Certificate
")-?L70
have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL
h. 142 Yes -fl— No ❑
you have checked yes> please indicate the type of coverage by checking the appropriate box.
liability insurance policy J:2Other type of indemnity ❑ Bond ❑
VNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required
Chapter 142 of the TVIGL, and that my signature on this permit application waives this requirement.
of Owner or Owner's
Owner
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 po ed under the
permit issued for this application will be in compliance with all pertinent provisions of the s hus tts State
Gas Code and Chapter 142 of the General Laws.
By Typeof Uccle:,
Title B—Plumber E3Master Signa ;/, o tensed Plumber/Gasfitter
City/Town ❑ Gasfitter ❑ Joumeyman License umber
APPROVED OFFICE USE ONLY)