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Date, .:
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TOWN OF NORTH ANDOVER
° PERMIT FOR PLUMBING
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�,SSACMUSf
This certifies that . .�!� ?�. �`'. . �?��l'.r. . . . . . . . . . . . . . . . . . . . . .
has permission to perform . . . . /. . . . . . . . . . . . . . . . . . . . . . . . . .
plumbing in the buildings of z. . . . . . . . . . . . . . .
.f !rt. . ., North Andover, Mass.
Fee. Lic. No.." .iV
)-. . . . . . . . . . jj . . .��r . . . . . . . . .
(PLUMBING INSPECTOR
Check # C !
5174
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Print or Type)
Dote � � ��Z
Building 416 xer Permit #
Location
/Z/ 1Owner's 'w
��D��� -- NameQ.9sj'/GPS1 2_
New ❑ Renovation ❑ Replacement p� Plans -t5bmitb ted: Yes ❑ No [91--1FIXTURES '-'"Building Permit No.
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3 x m H�o o � 3 x �I� c01 - < 3 m o I I
sub-BSMT.
BASEMEN
^, IST FLOOR LL I
2ND FLOOR
3RD FLOOR I I I I I I I I I I I I I I I I I I I I I I I I I I I I
- 4TH FLOOR I I I I 1 ! I 1 I I I I _I_I IIIIIIIII ! III
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5TH FLOOR I I I I I I I I I ! 1 I I ( III ! IIII ! IIII
6TH FLOOR I I 1 I I ( ! I ! ! III III ! ! ! I ! I ! ! T-1
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7TH FLI I I I I I I I I I I I I I I I I I I I I I I I I I I I
8TH FLOOR I I I I I I I I I I I I I I IIIIIIIII I I !
Check one: Certificate
Installing Company Name WATER HEA Cf Corp.
Address 14 DARTMOUTH STREET ❑ Partnership
MINI,MA 148
❑ Firm/Co.
Business Telephone 701-1417-- 2
Name of Licensed Plumber f
INSURANCE COVERAGE: Checko
I have a current liability insurance policy or its substantial equivalent. Yes t� No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy 8_1*_ Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware tfiat 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 ❑
r.or Owner's-Agent -
Signature of Owner t-9 .
1 hereby certify that all of Vthe details'and information I have submitted (or entered) in the 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 Massackisitts'State Plumbing Code and Chapter 142 of the General Laws.
Fee
Signa ure of Licensedlumber
Check #
Cleanse Number, /
wy
Date Type or Plumbing License: Master &."
I APPROVED (Office Use Only) Journeyman 0
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES
FEE PROGRESS INSPECTIONS
NO.
APPLICATION FOR PERMIT TO DO PLUMBING
NAME & TYPE OF BUILDING
LOCATION OF BUILDING
PLUMBER
PERMIT GRANTED
DATE
PLUMBING INSPECTOR
Date—?. S. :C-.L . ... . .
. OF NOTH
D1ti
02 �' TOWN OF NORTH ANDOVER
1 o
PERMIT FOR GAS INSTALLATION
h
�9S SAC HUSEtI(
This certifies that 1i�. . . .
has permission for gas installation . . . . ... . . . . . . . . . . . . . . . . . .
in the buildings of . . . L !!.L. . z . . .
at . . . . . . . . . . . . .. North Andover, Mass.
Fee. . . ` . . . Lic. No.(�.l . . . . . . . .�.�.!.` v . . . . . . . . .
GAS INSPECTOR
Check#
3 : 63
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
Date
Buildings - f Permit # -3 5 b 3
Location
Owner's
Namel" �C
New ❑ Renovation ❑ Replacement R/ Plans Submitted: Yes ❑ No C�
Building Permit No. _
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w i ! J I lin l WO U m F 2 n
Z jZ Oi Z w iw wO
= a > W
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Z ZW mOZ O Z O 2
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3 a a S u 0 > o a N o
SUB-BSMT. I I I I I I I I I _IIIII IIIIIII ! I I ! a
BASEMENT
1 ST FLOOR IIIIIII ! III _III III _I
2ND FLOOR I I I I I I I I I ! IIII I I I I
3RD FLOOR
IIIIIIIIIIIIIIlIIIIIIIIIIIII
4TH FLOOR
5TH FLOOR I I I I I I I _IIIIIII I I I I I I I I I_ IIII_
6TH FLOOR I I I I I I I I I I I . III IIIII. I I . I I'
7TH FLOOR I ' IIIII: I. IIII I I ' I I. I I . IIII ' IIII '
8TH FLOOR I I IIIIIIIIIII . I III . I
Check one: Certificate
Installing Company Name WATER HEATER INMLLE-RS ,, Ercorp.
Address 14 DARTMOUTH STREET ❑ Partnership
NDWDEN' MA 02148 ❑ Firm/Co.
Business Telephone ---��--
Name of Licensed Plumber or Gas Fitter ja,ne5 �✓
INSURANCE COVERAGE: Check on
I have a current liability insurance policy or its substantial equivalent. Yes � No ❑
If you have checked yes, please indicate the type coverage by checking the appropriate box.
A liability insurance policy H 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 ❑
Signature of Owner or Owner's Agent
I hereby certify that all of the details and information I have submitted (or entered) in the 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 Gas Code and Chapter 142 of the General Laws.
Type of License:
Fee ❑ Plumber
Check # ❑ Gasfitter Signature of Licensed Plumber o Gas Fitter
Date a Master
APPROVED (Office Use Only) 0 Journeyman License Number j -�7
BELOW FOR OFFICE USE ONLY
FINAL INSPECTIONS SKETCHES PROGRESS INSPECTIONS
FEE
NO.
APPLICATION FOR PERMIT TO DO GASFITTING
NAME AND TYPE OF BUILDING
LOCATION OF BUILDING
r
PLUMBER/and or GASFITTER
r
PERMIT GRANTED
DATE 19
PLUMBING AND GAS INSPECTOR
ti �