HomeMy WebLinkAboutP-14-763 MASSACHUSETTS UNIFORM AIrPUCATION FOR A PERMIT TO PERFORM PLUMBING WORK
tipl 34 CITY West Yarmouth I MA DATE 5/16/2014 PERMIT# Ply— 76 S
JOBSITE ADDRESS 14 Pine Cove Drive I OWNER'S NAME Mike Muir I
1 OWNER ADDRESS 1 TEL 508-341-8697 FAX
TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL El
PRINT
CLEARLY NEW:0 RENOVATION:0 REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOD
FIXTURES 2 FLOOR-+ BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB IML III. 1- [ I f 11 I II II
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM i 1 i
DEDICATED GAS/OI JSAND SYSTEM 1 nr- -ilr n r 1i1 1' r I
DEDICATED GREASE SYSTEM
DEDICATED WATER RECYCLE SYSTEM Ijw�;II I a
DEDICATED �__
DISHWASHER 1fI�MI IS MIS
DRINKING FOUNTAIN
FOOD DISPOSER
iIflII!flhiIIRI
INTERCEPTOR(INTERIOR) `KITCHEN S
!nom Iaim aI as IlaI,imliai i lI
LAVATORYINK Mi i �,
ROOF DRAIN inassmIII�
SHOWER STALL ..,,,,,,inion I�I II I
SERVICE/MOP SINTOILET it
URINAL WWIIMIS ,ilmialpreismma I 11
OTHERWASHING MACHINE CONNECTION WATER
ALL
• . .WATER Illi oV 1 1ING SS
ialaMPIIIIM 11,
- I ,�I . l�ai 1 l
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES El NO ❑
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY ElOTHER TYPE OF 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 ❑
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 i ••mpliance with all P-•'•-• • •vision,of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER'S NAME Christopher Briggs LICENSE# 12901 SIGNATURE Ise
MP DI JP CORPORATION❑# 3138 IPARTNERSHIP❑# R SolliVit ,, �) /
COMPANY NAME Briggs&Heino Plg&Hgt Co., Inc. ADDRESS P.O.Box 536 MAY 1 9 201%
CITY Centerville STATE MA ZIP 02632 TEL 508-778-181 �ti. ' • •
FAX 508-775-0404 CELL EMAIL rbrjhj@aol.com BY -----
441 if
----441if
SALON M3IA32I NVid --
#'IWM3d $ :33d
0 0 1tWII3d 3Hi SV S3A213S NOIlVOIlddV SIHL
oN seA
S3.LON NOI.L.33dSNIKING asci 3DLAAO)101M01311 SJION NOI1,33dSNI DMu1 c17d H011O1I
it/
BRIGGS & HEINO
PLUMBING & HEATING CO., INC.
P.O. BOX 538 CENTERVILLE, MASSACHUSETTS 02601
(508)778-0816 1-800-453-6444
FAX (508) 775-0404
May 16, 2014
To Whom It May Concern:
Due to the fiasco created by the State with their Audit for sessions 5 & 6, Christopher
Briggs License 12901 has not received his Renewal for his Master's License. Of which
he filed for on April 12,2014. After many telephone calls and emails to Ann Deruosi to
no avail,we finally contacted Wayne Thomas the Director of The Board of State
Licensure. He has advised us to file these permits. If you have any questions he asks that
you give him a call at 617-727-3074.
Thank you