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HomeMy WebLinkAboutGas Water Heater_BLDP-23-11931 - BLDP-23-11931 28650Occupancy Type Residential What floor is it on? BSM Plumber's Name ANDREW J MIKITA Business Name ANDREW J MIKITA License # 18843 License Expiration Date 05/01/2024 License Type Journeyman Plumber Type of Business -- Corporation/Partnership/LLC License # -- Mailing Address S HARWICH, MA, 02661 City S HARWICH State MA Zip Code 02661 Email Address andymikita2005@msn.com Preferred Phone # 5082375049 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 Gas Water Heater BLDP-23-11931 Applicant Andrew Mikita 508-237-5049 andymikita2005@msn.com Location 44 CONSTANCE AVE WEST YARMOUTH, MA 02673 Project Info Gas Hot Water Heater Primary Contractor Liability Insurance 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 a sole proprietor or partnership and have no employees working for me in any capacity. Type of Insurance Coverage Workers' Compensation Insurance Affidavit