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HomeMy WebLinkAboutMiscellaneous - 84 RUSSETT LANE 4/30/2018N O J Y D � m g z m 0 ,` �� ..,a.. Date. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that .... ....... has permission to perform ........ ... .......... orth Andover, ..... ................ plumbing in the buildings of .... Al v ( ,, at ... .. ..... orth Andover, Mass. Fee ...)-). -..Lie. No..)31�.'.. te........ PLUMBING INSPECTOR Check (4 61' 6542 A MaS;uCHUSE j I UNIFORM APPUCATION FOR PERMR TO DO PLUMBING .. (art or Tye MaS& Date Buikry Location -Ey-S'Crra. over s Name .J©1.11 l.l). Cte TYPe of Ory New D Renovation o Replacement 0' Plans Supmitteoti Yes Q No G FIMRES m 2� Instal ft.0 , Address_ .5-0" - T Nmmof Lioensed Plumber C IM • thcic of D Corporation D X P'any �` I leave Y t raDr or its No srrti,t D �, M you havecliec the mwof MGL Ch U2- weaae m use hDe I-Ve by A r►abi ltp policy the the aoproprgk poor Other type of ind� D OW"E" ""Mw Bond - 7e2 of the .am aware that the wee does na have the - Laws; and that ml►a on ttrs rnsuran� required - . permit apprrcagor, naives this a¢we of owner , Ammer s Agent Check orw Owner qWg. G I.t�;py Chas ap of thedetails aw �m Submitted and as pkreg work. „d tw CO aborra�p ;o�, are ince ana aoauate m prvv orrsafthe.M� u :issuedforth M*ca vnwW7 . . Wof the General taws. a - Type of Lkenw MasterX licensecan L 1� +Der 0 D 1 �. o C O Z Z Z v � OO � . e'� a � �� o o 0 r s� _� D ao 'o 7 � Q �� � � � z � u o-�. � i. � �. 0 D 1 0 a �c o C O Z Z v � OO � . e'� a � �� o o 0 s� �c o 0 - �: OO ' C .��'. s� _� D Date .- !. Cf' :.c.,j . . . "ORTk R10 TOWN OF NORTH ANDOVER fin • - PERMIT FOR GAS I LATION �,SSACHU$ This certifies that.... ............... . has permission for gas installation .................. in the buildings of ... P/-7 A.4! c_ „ . ................... . at .. . <<...0.4 S s t T.( ! .` ....... ii orthAndover, Mass, Fee.., J:. Lic. No.. �. i.e. .. .....'t; . D. INSPECTOR Check # cj i 3 5,165 ASSACHUSETMUNIFORMAPPOOATION�F+QF�P T TO OO GAsFFTTING_ Qltiat or Type)_ AOD 0li �� t+ Gate 7 Iq yQV, Perm4 6 4t w oa-8 P U LEa QV , owners NacrseJ k{oC { 9-7S (12693,7/,3 Type New p Renovation, p qG,Q• plans Subbed: Y eam ❑_ LIST �� A4f1 STH: aTM LOOR.- LOOR OR OR Y INSURANCE- COVERAGE:. .1 Have a. -Yei No O �cale�hwhkh meds xhe K Y runet�ts .of 1 G`tiG:142• A liability. insurance : �ndiat6 ,efts-= c ge:bY. V*`b - x 00MUIWld—IrKlemnity Cl. Bond O OWNER'S INSURANCE :IYAM .* 1 amaswata:that-the ftensmChapter. 1.42 o the Uass_° General_Lay�; aad 2hst �� �` . =� aooe .coverage required by _ tray slflnature on thls -aP ion Wab m this requirement Siynatun of Owner Check one: flwiwrr s Agent OwnerO Age ,O .l #WehkAOWIOy CWW that an of the -d.tails *W kdom�ation.J-1120 e and that IN Mrodrand insfakdons P�amed under #w Petmd Issued Snt0m(D in above ! am true and acmate.to: the best.of my Pronsbns of the Massa�chusettS State Cas. Code aid Chapter Q of the General be in priancei wifir aN By _ _ Title Tt'Idumber Gasfitter a er city/Town Ian License Number a a: C. b C ZCz h. C. z o w f ,� C Se z o �,,. C W J a W D D U1 _ tit p = Y C SIC C Mo s IM :4 sus 'asyT. LIST �� A4f1 STH: aTM LOOR.- LOOR OR OR Y INSURANCE- COVERAGE:. .1 Have a. -Yei No O �cale�hwhkh meds xhe K Y runet�ts .of 1 G`tiG:142• A liability. insurance : �ndiat6 ,efts-= c ge:bY. V*`b - x 00MUIWld—IrKlemnity Cl. Bond O OWNER'S INSURANCE :IYAM .* 1 amaswata:that-the ftensmChapter. 1.42 o the Uass_° General_Lay�; aad 2hst �� �` . =� aooe .coverage required by _ tray slflnature on thls -aP ion Wab m this requirement Siynatun of Owner Check one: flwiwrr s Agent OwnerO Age ,O .l #WehkAOWIOy CWW that an of the -d.tails *W kdom�ation.J-1120 e and that IN Mrodrand insfakdons P�amed under #w Petmd Issued Snt0m(D in above ! am true and acmate.to: the best.of my Pronsbns of the Massa�chusettS State Cas. Code aid Chapter Q of the General be in priancei wifir aN By _ _ Title Tt'Idumber Gasfitter a er city/Town Ian License Number •O _ q W {C :- tc IM !a. �; Zt Am miL! d C .�dl... W H Q AL' I. ur o.,. Ad AdL v Or _- W �Z ?'