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HomeMy WebLinkAboutBLDG-22-005842 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK Z=2-1MA DATE April 12,2022 PERMIT# BLDG-22-005842 CITY YARMOUTH JOBSITE ADDRESS 16 MATTIS DR OWNER'S NAME KENZIORSKI DAVID K TRS G OWNER ADDRESS KENDZIORSKI VICKI L TRS 16 MATTIS DR YARMOUTH PORT MA 02675 TEL TYPE OR OCCUPANCY TYPE COMMERCIAL PRINT IDRESIDENTIAL El CLEARLY NEW: D RENOVATION:© REPLACEMENT:0 PLANS SUBMITTED: YES 0 NO FIXTURES FLOORS BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER FIREPLACE FRYOLATOR FURNACE • GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS • MAKEUP AIR UNIT OVEN POOL HEATER ROOM/SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER WATER HEATER 1 OTHER OTHER DESCRIPTION: INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES © NO El IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY ❑ OTHER 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. 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 in compliance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUMBER-GASFITTER NAME Ikevin Lamoureux I LICENSE# IMA I MP ElMGF ElJP 0 JGF❑ LPG' 0 CORPORATION ID ❑#I I PARTNERSHIP # SIGNA LUCRE COMPANY NAME: IKEVIN LAMOUREUX PLUMBING&HEATIN I ADDRESS. 161 Jobvs Ln, I I ❑#I CITY IOsterville I I I ZIP I02655 I TEL 15084202068 STATE MA FAX 1 I CELL 15082925085 I EMAIL 1 1