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HomeMy WebLinkAboutP-13-298 MASSACI USETTSTJNIFORWAPPOCATIONTOI A FERMI t 1U PERFORM'PLUMBTNG"WORK--- 2-9 8 CITY Yarmouth MA DATE 11/07/12 PERMIT # .j) (J- JOBSITE 71 South Street(South Yarmouth) M#42/P#162 OWNER'S NAME O'Malley OWNER ADDRESS 16 Freeport Drive Burlington, MA 01803 TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL ❑ EDUCATIONAL 0 RESIDENTIAL PRINT CLEARLY: NEW: ❑ RENOVATION: ❑ REPLACEMENT: 0 • PLANS SUBMITTED: YES 0 NO FIXTURES—. FLOOR BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 'BATHTUB -CROSS-CONNECTIONT)EPICE DEDICATED SPECIAL WAS FE SYS I EM `DEDTCATED-GAS7OI • 4 DEDICATED GREASE SYSTEM DEDICATEDDRAY WATER SYSTEt'' DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR/AREA DRAIN iN'ItRZ`EPTOR (INTERIOR) -KITCHEN-SINK VATORY ROOF°RAI SHOWER STALL'._....._....._.._..,�.......-._.. .._ SERVICE I MOP SINK TOILET 4'" URINAL WASHING MACHINE CONNECTION __ .,....,w ..._ t<%‘44,60., _. ,_..._..._ WATER HEATER ALL-TYPES -WATER PIPING OTHER fNbUKANI.b LUVhNAtot: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES fit] NOD IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER TYPE OF INDEMNITY 0 BOND ❑ 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 'Thereby certifithat allif the de ii s afE'f�3intoirmation I have submitted or entered regarding this application are true - • - • ra e,o e •- m• now e•ge an• that all plumbing work and installations performed under the permit Issued for this application will be In complla Peril - provision of e Massachusetts State Plumbing Code and Chapter 142 of the General Laws. '_ PLUMBER'S NAME James Pazakis LICENSE#PL-15030-M SIG •TU'APPr MP 1K JP 0 CORPORATION ®#C-2803 PARTN, ' - • ❑# LLC 0# COMPANY NAME:Hall Plumbing&Heating,Inc. re nUq I25 °DRESS:447 Old Chatham Road CITY:South Dennis STATE:MA D ZI�02660 TEL:508-385-9127 r d 20Q12 FAX:508-385-6604 CELL aq 725p- EMAIL Halltechnician@comcast.net cy„r _.,..r, . ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No $ THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: $ PERMIT# PLAN REVIEW NOTES 444 s' 1 •F A t