HomeMy WebLinkAboutMiscellaneous - 156 Flagship Drive O RT:�� TOWN OF NORTH ANDOVER
° PERMIT FOR PLUMBING
s � r
;,SSACHUS� n ?
This certifies that
. .
has permission to perform :-% -. .. ... . . . . . .. . . . • • • • • • • . . .
plumbing in the buildings of . . . . . . . . . . . . .,. . . . . . . . . . . . . . . . .
at . . /y�-1 . . . . . . . . . . . . . . . . . . . . . . North Andover, Mass.
Fee. .F'S! .�.Lic. N... . . . . . . . . . . . . . . .�. �-CTO--R. . . . . . . .
PL
Check # Aw
5720
MASSACHUSETT�"'!jNIFORM APPLICATION FOR
(Print or Type) RMIT TO DO PLUMBING
LJ
• s�o'ti<.
Mass.
Nd Date_
.0
Building ;,,�-Permit# 20
AT: LocationF41&,s Fd c(°le, Owner's p
` Name �C,�CzS K�f°d FESS
Address
Type of Occupancy:,,e nr-r'c
New Renovation Replacement
FIXT' R S Plans
Submitted Yes N o
EO En 0 U) w
u rn w E+ 4 w
E- z a > rn w z art rn E-
En H 0 C4 9k z - z zxu ar>+.
Ho �
a x z z H rn rn > x rn a . 4 x z w H Q
o rn
U w H c~n a � vi w , a q Ax v wg
a4 x cn E-� E+ w w 4 x w w
w A a. 4 x 3 z z o 4 r4 E-'
E• Er x z o > E- o o ►-+ PA
z w
a s 03- x
cn a pra rn o 4
SUB-BSMT.
BASEMENT
1ST FLOOR a IT
2ND FLOOR I
3RD FLOOR _
4TH FLOOR
6TH FLOOR
6TH FLOOR
7TH FLOOR
8TH FLOOR
t"
(Print or Type) f �Q
Installing Company Name 40 SCp(I IStt�t4fG.MG � ,
Address
Check One: Certificate
L� �t 1�� � i/i4�� ��
�yDvl�pb� O Corp.
O Partnership
Telephone '- Firm/Company
Business Tele
p Q`3'COCO-7f Name of Ucensed Plumber
I hweby cxuy tr,at ar of OW detaus and wonnatlon I have submitted(or«lured)to.bow
that all pkrnbinp work and krtaNatlorts PerIbm"under Pem*Issued for thla ownp atlort.are trw and Wmrab to tfw bast d my baw{idpe tied
PlUM"Code and Chapter 142 of the Gerwal Laws. aPD�tbn wNl be h aompllanoe whh aN poanwtt Prodsbn of the MasaadXUSU.state
I have" mied the owner or hls agent that 1 do not haw W114 kwt rw,"MtdWkq completed oPeratlons
oovanpe.
Slpnehre w Ow wmpent ..
A1pndture-of Lloerued Number•
r I have a curtest Uabllity Insuranw PoUcy b kKkW*completed opwatkn s coverage.
eType of Pkmnp L
bibensa
y -
nue
(o to
Cttyrrown: GcOnse Number aster [],YOUrneyman
APPROVED (OFFICE USE ONLY)
Oros FdkW IMA