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HomeMy WebLinkAboutBLDP-15-003272 1ItlW3 1130 11111111111. XVd • UC- $84. . g ►_y 131 Q749z0 dlz -t441 31v12 ;Wind '5 Alio M . C01 WW1 al) ?Argo -Eh h ss aov 3WVN ANtld NOO 311 �� eaHSi13Nl21Vd #©NOIJV210d2f00 0dr El&I f11VN'IS w- Sl 7d #3SN3011$ V' o2 S �'ti� 3WVNs.H39Wflld / •smel peue3 mil to Zfl Jeldeg3 pue epo0 6ulewn!d ele1S sllesngoesseW eql;o !s!noJd lu9uji:,,: a gl!m eaue!!dwoo All eq mm uo!leo!!dde sun Joy pens!euued eta Jepun pewioped suolleeelsu!pue:Pom 6u!gwn!d pe leyl pue e6pe!mou 6wjolseq eyl of elemooe pue em we uoQeo!!dde sN)6u!pie6ei pojalue Jo pe;!wgns envy I uoeewo;ui pue s!!elep eyl Jo ye ley;y!peo Agwey! 1N39V 210 213NM0 d0 321111VNOIS ' © 1N39V ❑ 213NMO :A1N0 3N0)133H3 luawaenbeJ slip sGAlem uo!1eagdde Uuued slgl uo ernwu6ls kw wig pue'smel lelaua9 suasnyaesseyy 011110 Zql Jaldeg3 Aq peJlnbeJ e6eJanoo eauemsul alp meg IOU saop easuaell ayl Will OJeme we I:N3AIVM 33NV21f1SNI S,H3NM0 ®0MOS , 0AIINW30NIJ03dA1213H10 igA0llOd30NtIJfSNlA11119VI1 • M0130 X09 31V18doaddv 3W.9N1)133H3 A9 39V213A03 d0 3dA1311131VOIONl 3SV3ld'S3A 03X331-13 110A it o ON D S3A 'Z6l'4319W yo sulawaunbaw . ! galym lualeNnba!equnsgns su.JO 43110d a3uaJnsu! ,1!ge!1 11181.1113 e any 1 J J. II :3oV2f3A••3 33NVIIOSNI if 1 1 ' ' ' I" ---1 ' i. - i J ` . N 1 _ 2f3H10 l v_ _j • JNIdIdif31VM S3dAl TN 2131V3H H31VM J is ' N0LLO3NNO03NIH0VW ONIHSVM ._ ldNRl(1 I I r .. 131101 _____J_ NNIS d01,1113 OIAN3S _ ��, 11V1S 213MOHS • NItlHO d00H IJ A?JO1VAtl1 NNIS N3HO11N �I (8011I31NUHOld3OH31N1 NIVNO V3W/U001d 213S0dS10 0003 l -1 _� �I I NIV1Nl03 0NINN2!0 H3HSVMHSI0 _ 5 W31SAS 313A038 LI31VM 031V31030 I I W31SA9 H31tlM AVNO 031V3IO2 W31SAS 3SV3H9 031V01030 T' W31SAS ONVSfIO/SVO 031V01030 =IIT I W31SAS 31SVM 1V1O3dS 031tl31030 taiii_, i a I III 111 _,. 30IA30 NOIIO3NN00 SSONO anmive 6L , fL zI LL OL 6 9 1 9 s P e Z L WSE -NOold t S32 fI1XId DON El S3A :03111W9ns SNVId 1N31133V1d321 0:NOI1vAoN321 El:M3N A121V31O •iNI21d . ZTVI1N30IS321 , E 1VN011tl3l03 El'VI0:13MM° 3dA1AONVd11000 2103dA1 XVd 1311 SS32100tl213NMO , a d/'elq/11 :-^T7-'°+1'91d31NVNS.213NMO 1pal1,g'v &9 90J ss32100vausoor 4rsOO:S/_dU-70,#1114183d h//Jb/Cf 31VO VW I 1/42C1-ski-Mi .113 . ,st )RIOM ONIf Vlflld W21Od213d 0l iIINH3d V 2104 NOI1VOIlddV W21OJINA S113SfHOVSSVW • - 'V r ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ 0 - FEE $ PERMIT# PLAN REVIEW NOTES . - _. MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK 4!--le=ae' a E=per,,6 CITY y�rv' n I MA DATE laic/I"/ PERMIT#/3�P/S-�9,27a JOBSITE ADDRESS 106 Euer _ Si ee OWNER'S NAME Al ber+er-65r° o I 7 9 GOWNER ADDRESS TEL JFAX TYPE OR OCCUPANCY TYPE COMMERCIAL El EDUCATIONAL❑ RESIDENTIAL PRINT CLEARLY NEW:❑ RENOVATION:❑ REPLACEMENT} PLANS SUBMITTED: YES NOD APPLIANCES 7 FLOORS-. BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER _ BOOSTER I CONVERSION BURNER COOK STOVE — DIRECT VENT HEATER DRYER • LL w FIREPLACE -- FRYOLATORJ I FURNACE I i i GENERATOR _ z , — — GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVENi i POOL HEATER _ e I ROOM I SPACE HEATER i— ROOF TOP UNIT TEST1 m ex r UNIT HEATER — r UNVENTED ROOM HEATER I WATER HEATER3 :ff -tt -at- 011 OTHER - -- — r air ,1®® - - - p - INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES ❑NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY [(. OTHER TYPE INDEMNITY © 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 © AGENT El 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 the best of my knowledge and that all plumbing work and Installations performed under the permit Issued for this application will be In compliance with-aaaa.tttttta/���'f)ertinent provi the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER•GASFITTER NAME Lsarn a s. 1-4 °t j LICENSE 4 PL.-kSo3n mn$IG TURE MP® MGF El JP❑ JGF❑ LPGI❑ CORPORATION❑# PARTN S}i, NIP L,„,g1p e LLC❑# , COMPANY NAME: ADDRESS Lt1 1 oLi) Ct.var6va,.a Qa. CITY S o °T h Oee rt r 5 STATE MIIIII ZIP_O L t,(, o ]TEL` w$ 3$ c 7 312- FAX CELL 'EMAIL a ROUGH GAS INSPECTION NOTES THIS PAGE FOR INSPECTOR USE ONLY FINAL INSPECTION NOTES Yes No THIS APPLICATION SERVES AS THE PERMIT 0 0 FEE $ PERMIT# PLAN REVIEW NOTES