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Home My WebLink AboutBLDP&G-18-005265 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK % ; CITY Yarmouth ___I MA DATE i 03/09/18 PERMIT# F, /Z/8`Oaro7Gr JOBSITE ADDRESS 33 Early Red Berry Lane,Yarmouthport OWNER'S NAME Kevin Morris OWNER ADDRESS 33 Early Red Berry Lane,Yarmouthport TEL 508 367 0076 FAX P TYPE OR OCCUPANCY TYPE COMMERCIAL Li EDUCATIONAL Li RESIDENTIAL L J PRINT CLEARLY NEW:0 RENOVATION:Li REPLACEMENT: i. PLANS SUBMITTED: YES El NOQ FIXTURES Z FLOOR-I BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB r - 1 --1- . CROSS CONNECTION DEVICE L- 71 i L. 1 DEDICATED SPECIAL WASTE SYSTEM MI L ir r -7 - j DEDICATED GAS/OIL/SAND SYSTEM - -I1 -11 (I DEDICATED GREASE SYSTEM r - DEDICATED GRAY WATER SYSTEM 1 -if- - DEDICATED WATER RECYCLE SYSTEM [ lit- r i' Tr-- DISHWASHER `� I ----. DRINKING FOUNTAIN 1 it 1 T FOOD DISPOSER ' I FLOOR/AREA DRAIN _ INTERCEPTOR(INTERIOR IININOIINIIIIIIIIINIIIIIIIIIIIMIIBI KITCHEN SINK ( - LAVATORY MIMIMB7-1 ROOF DRAIN MIIIIIIMIIIIIMIIIIIIIIIIIMIIIIIIIIIIIIIIIIIIINIIIIIIIIIMM SHOWER STALL SERVICE/MOP SINK ��I TOILET -]�� URINAL ir 1, - WASHING MACHINE CONNECTION WATER HEATER ALL TYPES 1 1 WATER PIPING -, 11 1._.._ - OTHER ir i , 11, , 1111111111111 - -1' i i INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch. 142. YES n NO Li IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY L] OTHER TYPE OF INDEMNITY i ; BOND !____i 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. CHECK ONE ONLY: OWNER j 1 AGENT LI 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'S NAME Kevin J.Sulllivan LICENSE# [13041 �G ,_.._.____.._._--__________ I � SIGNATURE MP JP❑ CORPORATION !1# 2433 IPARTNERSHIPLJ# J LC A# -I COMPANY NAME!Ready Rooter, Inc. ADDRESS P.O. Box 371 CITY Sandwich i STATE MA-1 ZIP 02563 TEL 508-888-6055 FAX L508-888-0242 CELL - 1 EMAIL Lkjs@readyrooter.com J ` `� MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY Yarmouth MA DATE 03/09/18 PERMIT# P—�rsO0lo5-- JOBSITE ADDRESS 33 Early Red Berry Lane,Yarmouthport OWNER'S NAME Kevin Morris GOWNER ADDRESS 33 Early Red Berry Lane,Yarmouthport TEL 508-367-0076 FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO APPLIANCES 1 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 INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 YES NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIAR!' ITY INSURANCE POLICY ' OTHER TYPE 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. CHECK ONE ONLY: OWNER AGENT 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 al Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. o� PLUMBER-GASFITTER NAME Kevin J. Sullivan LICENSE# 13041 SIGNATURE MP MGF JP JGF LPG' CORPORATION # 2433 PARTNERSHIP # LLC # COMPANY NAME: Ready Rooter, Inc. ADDRESS P.O. Box 371 CITY Sandwich STATE MA ZIP 02563 TEL 508-888-6055 FAX 508-888-0242 CELL EMAIL kjs@readyrooter.com