HomeMy WebLinkAboutPlumbing Permit - Plans - 386 SUTTON STREET 4/10/2003 I
Date. , . . . . . .
1
TOWN OF NORTH ANDOVER
PERMIT I
CHO
This certifies that
h os permission to perform
plumbing in the buildings of
s
i
at.. . . . , % . , , . . . . . . , North Andover, Mass.
Fee: , . . . . . . .t.ic. }ors.. , . . . .
PLUMB IN 0A R$'kCTOR
Chea #
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MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER,MASSACHUSETrS
Date
�— -1- 77L-�--�
Building Location ers Name Permit
Amount 60
'rml—ofoccu2ang
New E] Renovation Replacement [] Plans Submitted Yes 0 No
FIXTURES
V) Cn
>14
04
�TA
C
Z
0
M FLOOR
M FLOOR
41RFLOOR .....................
5HI FLOOR
61H FLOOR
7M FLOOR
9111 FLOOR
(Print or type) Check one: Certificate
Installing Company Name_a�. �Z;�� Corp.
Address --, -1p
Partner.
Business Telephone 9-7�Z -Z! Finn/Co.
Name of Licensed Plumber: Z'
insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity Bond
0 El
Insurance Waiver: 1,the undersigned,have been made aware that the licensee of this application does not have any one of the above
three insurance
zgnature Owner El 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 Plqrrrbirtgf,Coe�and Chapter I ftffihe Gen6enal Laws.
By:
g-na7ffle'of titets ta
Title Type of Plumbing License
Master Journeyman
Civrown ri-ce�se
APPROVED(OFFICE USE ONLY