HomeMy WebLinkAboutBLDP-19-002286 9MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK
CITY YARMOUTH MA DATE 10/17/18 PERMIT# BLDP-19-002286
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JOBSITE ADDRESS 124 WHARF LN OWNERS NAME DONNA LOWNEY
P OWNER ADDRESS 24 WHARF LN YARMOUTH PORT,MA 02675 tEL
TYPE OR OCCUPANCY TYPE COMMERCIAL n RESIDENTIAL n
PRINT
CLEARLY NEW:n RENOVATION:n REPLACEMENT:n PLANS SUBMITTED: YET-1 NOn
FIXTURES-I FLOORS—, BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14
BATHTUB
CROSS CONNECTION DEVICE
DEDICATED SPECIAL WASTE SYSTEM
DEDICATED GAS/OIUSAND SYSTEM
DEDICATED GREASE SYSTEM
DEDICATED GRAY WATER SYSTEM
DEDICATED WATER RECYCLE SYSTE
DISHWASHER
DRINKING FOUNTAIN
FOOD DISPOSER
FLOOR/AREA DRAIN
INTERCEPTOR(INTERIOR)
KITCHEN SINK
LAVATORY
ROOF DRAIN
SHOWER STALL
SERVICE/MOP SINK
TOILET
URINAL
WASHING MACHINE CONNECTION
WATER HEATER
WATER PIPING
OTHER
OTHER DESCRIPTION:SITE VISIT
INSURANCE COVERAGE:
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YESn NO n
IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICYn OTHER TYPE OF INDEMNITYn BONDn
OWNERS 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.
PLUMBERS NAME Kevin Sweeney LICENSE21P883 SIGNATURE
MP n JP n CORPORATION nt PARTNERSHIP of LLC nk
COMPANY NAME Kevin J Sweeney ADDRESS 18 ROCKAWAY RD
CITY AUBURN STATE MA ZIP 015012124 TEL
FAX CELL EMAIL
Hall, Lee
From: Donna Lowney <donnalowney@comcast.net>
Sent: Sunday, October 14, 2018 5:18 PM
To: Hall, Lee
Subject: 24 Wharf Lane
Hello,
I am the new owner of 24 Wharf Lane. Thank you for coming out to my "palace" with a plumber last week. I appreciate
the time you spent with him. I am not sure if I am hiring him yet or not. I had gotten a quote from a few other plumbers
and another one pending. I will be starting that job once the heating system has been thoroughly gone through unless I
die from exhaustion from working on it first.Then my kids can deal with it. :)Thank you again, Donna Lowney
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