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HomeMy WebLinkAboutBLDP-23-11925Associated Building Permit Number BLDR-23-13038 Type of Work to be Completed ce existing tub shower valve and drain with new shower valve and drain Project Cost (Do not include the dollar symbol [$].) 1895 Occupancy Type Residential Work to Start 12/21/2023 New -- Renovation -- Replacement true Type of Fixtures Other Fixtures If Other, type of Fixture valve Location 1 Quantity 1 Type of Fixtures Shower Stalls If Other, type of Fixture -- Location 1 Quantity 1 Please enter the Total number of fixtures (calculated by adding all of the fixtures entered in the section above) 2 Plumber's Name JEFFREY K KRULA Business Name -- License # 15036 License Expiration Date 05/01/2024 Plumbing Permit BLDP-23-11925 Applicant Jeffrey Krula 5085212700 bostonplumbing@bathfitter.com Location 8 ROGERS AVE SOUTH YARMOUTH, MA 02664 Project Info Fixtures Total Fixtures Primary Contractor License Type Master Plumber Type of Business Corporation Corporation/Partnership/LLC License # 4383 Mailing Address NORTON, MA, 027661141 City NORTON State MA Zip Code 027661141 Email Address bostonplumbing@bathfitter.com Preferred Phone # 5085212700 Alternate Phone # -- 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 installations 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 Arch Policy # or Self-Ins License # ZAWCI5806604 Expiration Date 01/01/2024 Liability Insurance Type of Insurance Coverage Workers' Compensation Insurance Affidavit Policy and Job Site Information Workers' Compensation Affidavit Signature I do hereby certify that under the pains and penalties of perjury that the information provided above is true and correct true