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HomeMy WebLinkAboutBLDG-19-006625 / Ps> '` �"f�a. iCITY Yarmouth MA DATE 05/22/19 PERMIT# e<46'/e-'0O4'62i JOBSITE ADDRESS 150 Cranberry Lane OWNER'S NAME Frank Re GOWNER ADDRESS 150 Cranberry Lane TEL FAX TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL RESIDENTIAL PRINT CLEARLY NEW: - RENOVATION: REPLACEMENT: PLANS SUBMITTED: YES NO - APPLIANCES 7 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 1 , UNIT HEATER UNVENTED ROOM HEATER ..--- WATER HEATER OTHER lout door gas fire pit , 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 ° NO I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY 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 0 SIGNATURE OF OWNER OR AGENT i I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurateto the best of my knowledge 1 and that all plumbing work and installations performed under the permit issued for this application will be in cartipliance with all Pertinent provision o the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. ----- :-.---- 7- ------ PLUMBER-GASFITTER NAME Virgilio Silva LICENSE# 31395-J SIGNATURE MP L,_, MGF ET JP - JGF LPGI CORPORATION # PARTNERSHIP , #r LLC---z#r COMPANY NAME:Silva Plumbing&Heating ADDRESS 155 Sudbury Lane CITY Hyannis STATE MA ZIP 02601 TEL FAX CELL 774-836-0176 EMAIL virgiliomga©hotmail.com Lem c 1� I V ._