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No. C'd Date 8 jo -06
MORTh TOWN OF NORTH ANDOVER
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Check # 516 0
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'CERTIFICATE OF USE & OCCUPANCY
Town of Northver
Building Permit Number Oj !? Date a./0-00
THIS CERTIFIES THAT
THE BUILDING LOCATED ON ys 4V CkVC12
MAY BE OCCUPIED AS f 0 q, c ; ,-- IN ACCORDANCE
WITH THE PROVISIONS OF THE MASSACHUSETTS STATE BUILDING CODE AND
SUCH OTHER REGULATIONS AS MAY APPLY.
CERTIFICATE ISSUED TO ,1/ p• O`P em n i-)
p ADDRESS `�� / N Cho vP e S Suede G
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3?�.:; •°";:��ooL TOWN OF NORTH ANDOVER
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PERMIT FOR PLUMBING
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This certifies that .......'!.�
r has permission to perform
dumbing in trhe-buildings of . `. < �'. fel.... !i? .41
at . ! ......—'. . .`.. . .............. , North Andover, Mass.
Fee .� .. Lic. No. ... ......... ..GP..s (, .......
.U�. PLUMBING INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
:ype or print)
NORTH ANDOVER MASSACSETTS yL C
Liuilding Locations A�►CInU'C' 1 7
Date '
Permit # ��
Amount ter/
X)6 (- [� V- CP RjC40wner's Name
New Renovation Replacement Plans Submitted
FIXTURES
(Print or type) O Check one: Certificate
Installing Company Name ["- 011ayi C e /` 1:1 Corp.
Addre s Qt Wc" f !--�f El Partner,
141L< M"Ll �7.
,ygBusinessTelephone/„ / �' �� �� E Firm/C0.
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Name of Licensed Plumber: d o
Insurance Coverage: Indicate the toe of insu9lnce coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond ❑
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above
threeinsurance
Signature Owner 0 Agent 0
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 erformed under Permit Issued for t is pplication will be in
compliance with all pertinent provisions of the Massac s S lumbing CodeAnd hapter 14 e General Laws.
By:b1gFMLUFV, o e
Type of Plumbing icense
Title A
City/Town 13cense Numner Master Journeyman ❑
APPROVED (OFFICE USE ONLY
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(Print or type) O Check one: Certificate
Installing Company Name ["- 011ayi C e /` 1:1 Corp.
Addre s Qt Wc" f !--�f El Partner,
141L< M"Ll �7.
,ygBusinessTelephone/„ / �' �� �� E Firm/C0.
r
Name of Licensed Plumber: d o
Insurance Coverage: Indicate the toe of insu9lnce coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond ❑
Insurance Waiver: 1, the undersigned, have been made aware that the licensee of this application does not have any one of the above
threeinsurance
Signature Owner 0 Agent 0
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 erformed under Permit Issued for t is pplication will be in
compliance with all pertinent provisions of the Massac s S lumbing CodeAnd hapter 14 e General Laws.
By:b1gFMLUFV, o e
Type of Plumbing icense
Title A
City/Town 13cense Numner Master Journeyman ❑
APPROVED (OFFICE USE ONLY
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