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HomeMy WebLinkAboutP-14-209 MASSACHUSt IIS UNII-URM ANNLICA7 ION FOR A PhRM1I TO PERFORM PLUMBINGWORK t ,W CITY Yarmouth MA DATE 0920113 PERMIT # f ''3' Z� a JOBSITE 14 Cedar Street(South Yarmouth) M#34/P#180 OWNERS NAME Ayoub P OWNER ADDRESS SAME a Irv"fiftvP TEL 774-212-0871 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL 0 RESIDENTIAL x❑ PRINT CLEARLY NEW: 0 RENOVATION: 0 REPLACEMENT: a , PLANS SUBMITTED: YES 0 NO❑ FIXTURES-+ FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 . 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEMi DEDICATED GAS101USAND SYSTEM _ I DEDICATED GREASE SYSTEM dV rn PO ion( I DEDICATED GRAY WATER SYSTEM / I DEDICATED WATER RECYCLE SYSTEM DISHWASHER u__._T /" DRINKING FOUNTAIN — (� p 1L FOOD DISPOSER C LS 9 U W onl coon, f FLOOR/AREA DRAIN INTERCEPTOR (INTERIOR) A Z .e- 2 £:13 KITCHEFTSINK LAVATORY G Jll_Usi "tic:r ROOF DRAIN ice a.2-- SHOWER STALL SERVICE I MOP SINK TOILET URINAL WASHING MACHINE CONNECTION RCCEPa D '-1/P7/-9 WATER HEATER ALL TYPES WATER PIPING OTHER INSURANCE COVERAGE: , I have a current liability Insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES 1 0 NOD IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW ' " - - LIABILITY INSURANCE POLICY Q OTHER TYPE OF INDEMNITY 0 ' 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 infornafon[have submitted or entered regarding this application are • _��, -•• : 7" - o my n. -.ge a . that all plumbing work and installations performed under the permit issued for this application will be In com r rtlnent p.• ion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. - PLUMBERS NAME James Pazakis LICENSE#PL-1 t I .I M RE MP in JP 0 CORPORATION ]#C-2803 • 1 - HIP I, LLC❑# COMPANY NAME:Hall Plumbing&Heating,Inc. ADDRESS:447 Old Chatham Road CITY:South Dennis STATE:MA ZIP:02660 TEL 508-385.9127 FAX 508-385-6604 CELL . EMAIL Halltechnician@comcastnet • BING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT i PLAN REVIEW NOTES t