HomeMy WebLinkAboutBLDG-18-007163 ,n J
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
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CITY , SOUTH YARMOUTH MA DATE 6/14/18 PERMIT#/' bir7/(O3
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JOBSITE ADDRESS.97 S.SHORE RD roofer') a o o2 I OWNER'S NAME OCEAN MIST BEACH RESORT
GOWNER ADDRESS 97 S.SHORE RD TEL 508-398-2633 (FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL +❑ EDUCATIONAL p RESIDENTIAL El
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CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT:0 PLANS SUBMITTED: YES NO.a
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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 0
I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY a OTHER TYPE INDEMNITY Q BOND 0
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 0 AGENT 0
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' ..mpliance with ay Perti . t provision of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
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PLUMBER-GASFITTER NAME ADAM TRAYNER LICENSE#;3880 . NAT.-E
MP❑ MGF Q JP❑ JGF Q LPGI Li CORPORATION D# 173 i PARTNERSHIP #1 I LLC❑#I
COMPANY NAME:I ROBIES HEATING&COOLING (ADDRESS,279 YARMOUTH RD I
CITY HYANNIS STATE MA I ZIP 02601 TEL 508-775-3083
FAXt 508-534-1272 1 CELL 508-775-3083 EMAIL MARY@ROBIES.COM
ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ //
FEE: $ PERMIT# /�0/(
PLAN REVIEW NOTES l�
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