Loading...
HomeMy WebLinkAboutPlumbing Permit _BLDP-23-11866 - BLDP-23-11866 24631Associated Building Permit Number -- Type of Work to be Completed Replace Shower Stall. No structural change Project Cost (Do not include the dollar symbol [$].) 1500 Occupancy Type Residential Work to Start -- New -- Renovation -- Replacement true Type of Fixtures Shower Stalls If Other, type of Fixture -- Location 1 Quantity 1 Type of Fixtures Other Fixtures If Other, type of Fixture valve 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 DAVID M RENZELLO Business Name -- License # 10886 License Expiration Date 05/01/2024 Plumbing Permit BLDP-23-11866 Applicant David Renzello 4019427897 maplumbing@rebathnewengland.com Location 8 ROGERS AVE SOUTH YARMOUTH, MA 2664 Project Info Fixtures Total Fixtures Primary Contractor License Type Master Plumber Type of Business -- Corporation/Partnership/LLC License # 4393 Mailing Address Attleboro, MA, 027031806 City Attleboro State MA Zip Code 027031806 Email Address maplumbing@rebathnewengland.com Preferred Phone # 401-735-0225 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 Beacon Mutual Ins Co Policy # or Self-Ins License # 71967 Expiration Date 06/03/2024 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