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HomeMy WebLinkAboutMiscellaneous - 2 Keyes Way �j I I MORTPI a?o�•�`•o"•,M�0.. TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING s � - •^a �SSACHUS This certifies that . . f. !l�!� ! 11 >� / . . . . . . . . . has permission to perform . . . . . . ./.�r,. r. . . . . . . . . . . plumbing in the buildings of . . :�! F .�. . . . . . . . . . . . . . . . . . . at. . . .�. . f. . r. . . . .�. : ./?. !. . . . . . . . . . . .. North Andover, Mass. r Fee.% t. ! . . . .Lic. No../,,' . . . . . . .. .%.!. . . . . . . . . . . . ... .t.:!. : PLUMBING INSPECTOR Check # 4977 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date `� �,7�' '�'7 Building Location W ►�� AJC , \,y�� Owners Name C,��iL�t � e�(� Permit# 1. 7 7 Amount 1 Type of Occupancy K_" New ® Renovation Replacement El Plans Submitted Yes No FIXTURES W NW E., � � ►.� a F � a d a QCL d Z RAMWE t M 1'J.7..l R 20FLOCR a 4 1a 5MHLOCR 6M F10M 7M>� 9m H L Ill , I I I (Print or type) e Check one: Certificate Installing Company Name [�wv1.ty, }ice ( ,' �,v1L1 _,.% ��{-{t/�L' �i/i Corp. Address LAS Partner. i a l h ",�. . Business Telephone ati 1 —Z L� ® Finn/Co. Name of.Licensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy ® Other type of indemnity ❑ Bond ❑ Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. By: Nignature of LicensedPlumber Type of Plumbing License Title i 1�S� City/Town iL cense INUMDer Master ® Journeyman APPROVED(OFFICE USE ONLY Date ... .. . OF ,AORTN TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION C This certifies that . .,/:-. . . . . . . . . . . . . . has permission for gas installation . ... . . . . . . . . . . . . . . . . . . in the buildings of . . . . ... . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . . . . . . . . . .. North Andover, Mass. Fee. .I(,. .- . . Lic. . . . . . . . . . . . . . . . . . . . . . . . GAS INSPECTOR Check#- 3773 MASSACHUSETTS UNIFORM APPUCATON FOR PERNffr TO DO GAS FITTING (Type or print) Date loC"_61 NORTH ANDOVER,MASSACHUSETTS Building Locations LA 1L!=!4Q.A tom. Permit# 3% -- Amount$ 7d Owner's Name New© Renovation ❑ Replacement ❑ Plans Submitted ❑ z o w AQG. C7 F v' d w a o 3 a U °x ° N o SUB-BASEMENT BASEMENT 1 1ST. FLOOR y 2ND. FLOOR 3RD. FLOOR '14 FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR (Print orone: Certificate Installing Company Name vv v L C' Corp. Address Ca/,QIU (_rl j1X_ - ❑ Partner. h.: — Y-,,,, a- Business Telephone Firm/Co. Name of Licensed Plumber or Gas Fitter \\A 1 INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ❑ No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. Liability insurance policy n 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: Signature of Owner or Owner's Agent 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and Chapter 142 of the General Laws. n A ZL ►_�_Vii`-.a�.� By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town 8 Gas Fitter License Number ® Master APPROVED(OFFICE USE ONLY) ❑ Journeyman Date. fU. .�. . .�.' ",O RT:1tio TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING i i ._ • f �,SSAC MUS This certifies that . . ?r`r `' y has permission to perform . . . . . . . . . . . . . . �� < < plumbing in the buildings of . . . e, .. . . at. . . . . . . .I. `./. !�. !`�.>. . North Andover, Mass. Fee. Lic. No..//.-� ... . . . . . . . . .r. . C(. .�-' . . . . . . . . _ PLUMBING INSPECTOR Check # � ��' '' 4976 i MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) L j2.6 NORTH ANDOVER,MASSACHUSETTS �l Date lC,—4--nk Building Location Owners Name C11 f1� � Permit# � /' Amount Z Type of of Occupancy VN-t New © Renovation E3 Replacement Plans Submitted Yes El No FIXTURES z w x a > w rx064 NAM a d a d • F F, Q" z a � F" � � , �H4VIC &��1VIIYI' l5'}r IIDQ2 1 I i � � 4 Z 1i -IM FLOOR 4M FLOOR 5M HUR 6MFLOOR 7MFLOOR 9M FLOOR i (Print or type) Check one: Certificate Installing Company Namep�wx -iC/i` F� Corp. Address LkY. �ti� �•/max Partner. Business Telephone G�1� ,c�j _' L� M Firm/Co. Name ofLicensed Plumber. Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy R Other type of indemnity ❑ Bond ❑ I Insurance Waiver: I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance Signature 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Plumbing Code 4nd Chapter 142 of the General Laws. By: 71p—a ueof Eicenseaum r Type of Plumbing License Title �135 City/Town License i u' ummner Master ® Journeyman APPROVED(OFFICE USE ONLY Date./fl. 1. .. ........ . . ,AOPT/y o� ° TOWN OF NORTH ANDOVER f 9 • - PERMIT FOR GAS INSTALLATION 1 ,SSACMUSEt This certifies that . . . . . . . . . . . . . has permission for gas installation . . . in the buildings of . .! ?!? ! !. . . . . . . . . . . . . . . . . . . . . . . . . . . . . at . . . .? �. . . . . . . . . . . .. North Andover, Mass. Fee. .,. Lic. No..1/. .!. . . . .. . . . . GASINSPECTOR ` v Check# L/ d 377 ? MASSACHUSETTS UNIFORM APPLICATON FOR PERAUr TO DO GAS FITTING (Type or print) Date n,— t-t_a NORTH ANDOVER,MASSACHUSETTS Building Locations � I Permit# Amount$ O .- Owner's Name C o-,Ulz, ( C zz, -� New® Renovation ❑ Replacement ❑ Plans Submitted ❑ U 0 � z c w w vi d ran w a 0 0 SUB-BASEM ENT B A S E M ENT l 1ST. FLOOR 2ND. FLOOR 3RD. FLOOR 4TH. FLOOR 5TH. FLOOR 6TH. FLOOR 7TH. FLOOR 8TH. FLOOR 11 M11 (Print or type) one: Certificate Installing Company Name d�w��?Q c � urv1� � C -Ft K1�'.1�i1� Li Corp. Address LA �1.� ❑ Partner. Business Telephone © Firm/Co. Name of Licensed Plumber or Gas Fitter INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes ® . No❑ If you have checked yes,please indicate the type coverage by checking the appropriate box. 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 Mass.General Laws,and that my signature on this permit application waives this requirement. Check one: ❑ Signature of Owner or Owner's Agent 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 Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Gas Code and a Chapter 142 of the General Laws. 1 i�._/`.,. k r. o,it"- \/-_ By: Signature of Licensed Plumber Or Gas Fitter Title Plumber City/Town Gas Fitter License Number © Master APPROVED(OFFICE USE ONLY) ❑ Journeyman