HomeMy WebLinkAboutGas Fitter Permit_BLDG-23-9523 - BLDG-23-9523 18437Associated Building Permit Number
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Type of Work to be Completed
installing gas generator
Project Cost (Do not include the dollar symbol [$].)
12400
Occupancy Type
Residential
Work to Start
10/10/2023
New
true
Renovation
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Replacement
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Type of Fixture
Generator
If Other, type of Fixture
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Location
1
Quantity
1
Please enter the Total number of fixtures (calculated by
adding all of the fixtures entered in the previous section)
1
Gasfitter Name
LESTER J WADE
Business Name
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License #
4569
License Expiration Date
05/01/2024
License Type
Master Gas Fitter
Type of Business
Corporation
Corporation/Partnership/LLC License #
28-2953773
Mailing Address
COTUIT, MA, 026352702
Gas Fitter Permit
BLDG-23-9523
Applicant
Lester Wade 508-477-8887 info@ccipgenerators.com
Location
28 EGG HARBOR RD
WEST YARMOUTH, MA 2673
Project Info
Fixtures
Total Fixtures
Primary Contractor
City
COTUIT
State
MA
Zip Code
026352702
Email Address
info@ccipgenerators.com
Preferred Phone #
5084778887
Alternate Phone #
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I hereby certify that all of the details and information I have
submitted regarding this application are true and accurate to
the best of my knowledge and that all plumbing work and
installation performed under the permit issued for this
application will be in compliance with all pertinent provisions
of the Massachusetts State Plumbing Code and Chapter 142
of the General Laws.
true
I have a current liability insurance or its substantial
equivalent which meets the requirements of MGL Ch. 142.
Yes
Type of Insurance
Liability Policy
Are you an employer? Select from the options below.
I am an employer with full and/or part time employees.
Insurance Company Name
Arbella
Policy # or Self-Ins License #
4220090553
Expiration Date
11/20/2023
I do hereby certify that under the pains and penalties of
perjury that the information above is true and correct
true
Liability Insurance
Type of Insurance Coverage
Workers' Compensation Insurance Affidavit
Policy and Job Site Information
Workers' Compensation Affidavit Signature