HomeMy WebLinkAboutMiscellaneous - 920 TURNPIKE STREET 4/30/2018 (2),;
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N° 4557
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PERMIT FOR PLUMBING
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This certifies that .............. ?...r .........................
has permission to perform ..... ...... . ...................... .
plumbing in the buildings of .... .`. �` .' f ..................
at... ...... 1
.�: ;!'.'.................. . North Andover, Mass.
Fee..... ... Lic. No .......... ...............
PLUMBING INSPECTOR
Check # _ 2 ) ,( ,
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Mass. Date Permit # i Y 7
Building Location I dO --TUVNP[KZ
Xrsame Kul Lift R'
of Occupancy Residential
New ❑ Renovation ❑ ReplaA�ent N Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name Heritage Htg , &P1g . Co. Inc. Check one: Certificate
Address 35 Pleasant Street EX Corporation 714
Stoneham, Ma 02180 ❑ Partnership
Business Telephone 781 -43 8-77 76 rl Firm/Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes N No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy LX 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the QeneWl Laws.
By _
Signatu(e a Licensed Plumber
Title
Type of License: Master FX Journeyman ❑ '
City/Town 8322
APPR4VED7OFFICE USE ONLY) License Number_______
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Installing Company Name Heritage Htg , &P1g . Co. Inc. Check one: Certificate
Address 35 Pleasant Street EX Corporation 714
Stoneham, Ma 02180 ❑ Partnership
Business Telephone 781 -43 8-77 76 rl Firm/Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes N No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy LX 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
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 the permit issued for this application will be in compliance with all
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the QeneWl Laws.
By _
Signatu(e a Licensed Plumber
Title
Type of License: Master FX Journeyman ❑ '
City/Town 8322
APPR4VED7OFFICE USE ONLY) License Number_______
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Date ..... :.. % . ..
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
This certifies that .`,�L� ........... .
has permission to performer.......................
plumbing in the buildings of ..� .�` f: C . J«'.�'.................
at U.l !�1jI....l ............... . North Andover, Mass.
Fee`.. Lic. No..o%. ..............................
PLUMBING INSPECTOR
Check # .%%
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MASSACHUSETTS UNIFORM APPLICATIO
(Print or Type)
mss. Date,
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Building
New ❑ Renovation ❑
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)A PERMIT TO DO PLUMBING
zr� Permit #
_Owner's Name �A & A/-7,0
Type of Occupancy Residential
Replacement N Plans Submitted: Yes ❑ No ❑
FIXTURES
Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one: Certificate
Address 35 -Pleasant Street IX Corporation 714
Stoneham, Ma 02180 ❑ Partnership
Business Telephone •. 781 —4--3g 7776 n Firm/Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy M 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
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 ofmy
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of this General Laws.
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Title Si ature o censea Fla mer
City/Town Type of License: Master [X Journeyman E]
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Installing Company Name Heritage Htg. &P1g. Co. Inc. Check one: Certificate
Address 35 -Pleasant Street IX Corporation 714
Stoneham, Ma 02180 ❑ Partnership
Business Telephone •. 781 —4--3g 7776 n Firm/Co.
Name of Licensed Plumber Gordon Switzer
INSURANCE COVERAGE:
I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142.
Yes ® No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability Insurance policy M 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 Mass. General Laws, and that my signature on this permit application waives this requirement.
Check one:
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 ofmy
knowledge and that all plumbing work and installations performed under the permit issued for this application will be in compliance with all .
pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of this General Laws.
By P
Title Si ature o censea Fla mer
City/Town Type of License: Master [X Journeyman E]
nPPROVE6_F0T E U§E bNE7�— License Number 8322
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