HomeMy WebLinkAboutBLDG-19-000147 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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€ CITY i SOUTH YARMOUTH I MA DATE 17/5/18 ++PERMIT# 1, -Cla
JOBSITE ADDRESS 97 SOUTH SHORE DRIVE UNIT 230 OWNER'S NAME !OCEAN MIST BEACH RESORT
GOWNER ADDRESS 197 SOUTH SHORE DRIVE I TEL'508-760-2640 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIAL
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CLEARLY NEW:0 RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES NOLI
APPLIANCES 7 FLOORS-, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
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BOOSTER I '! a r� s� n r 1 i 4 I
CONVERSION BURNER I r. 4 i, t• t I I t t
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DIRECT VENT HEATER I ., t 1 t 1 5
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INFRARED HEATER 1 r.- L i1 I1 it 91 td = - I
LABORATORY COCKS I i 1
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INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES Q NO Li
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY 1 OTHER TYPE INDEMNITY C] BOND LI
OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
CHECK ONE ONLY: OWNER ❑ AGENT lLI
SIGNATURE OF OWNER OR AGENT
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to th est of my knowledge
and that all plumbing work and installations performed under the permit issued for this application will be ingmpliance with all Pe • t provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws. / '_/1 SA
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PLUMBER-GASFITTER NAME;ADAM TRAYNER - !LICENSE#.3880 GNATORE
MP Li MGF a+ JP❑ JGF L LPGI0 CORPORATION 0#i 173 PARTNERSHIP 0#, I LLC❑#I
COMPANY NAME:i ROBIES HEATING&COOLING ADDRESS 1279 YARMOUTH RD I
CITY IHYANNIS STATE MA IZIP;02601 TEL i 508-775-3083 1
FAX'508-534-1272 CELL 508-775-3083 'EMAIL!MARY@ROBIES.COM
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ROUGH GAS INSPECTION NOTES TIIIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT 0 ❑ 2Ji,
FEE: $ PERMIT# CI £/ /11-
PLAN
4PLAN REVIEW NOTES /�/y l r