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HomeMy WebLinkAboutBLDP-17-004734 IMP: PigAeE4 : 1: ,. _ M ;ieraASSACHUSETT'S UNWORN APPUCATION FOR A PERMIT TO PERFORM PLUMBING WORK S '` . CTtY f --V tra u _- MA DATE) 3/)-VI 7 I PF MT#/'.lG-/7 /7-oci l//-'' ' JOBSITEAD SS(z 0 l 3 ..�C :1 PA. I OWNER'S NAME'1A1�^,a y 'Cr; rn(: ^ 1 p - OWNER ADDRESS - 1 TH,.l IFAXI t TYPE OR OCCUPANCY TYPE COI AL 0 EDUCATIONAL. Q RESIDENTIAL Ul PRINT CLEARLY NEW:p RENOVATION:❑ I aCBARIT:a PLANS SUMMED:YES 0 NOD FDC1US 1 FLOOR-, 8931 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BATHTUB I _ 1 I I ' 4 * 1 1 i 1 ! CROSS CONNECRON DEVICE 1)111._ j _.a1 1 DEDICATED SPECIAL WASTE SYSTEMI __ --Wall_ _ .#,—� - - - _ �1 I DEDICAT®GRSI�OIusonSYSTBII i im�1i DEDICATE) - - - — t11111 11101- 10 DDICATED yGfRAY WATER SY�STB�d}p� 11 }—.'t 1— A._ 1t DEDICATEDy1 � V AT�lEiia ES STEM ;ta--�--,%$.; 3+ f1 ! -.!I�..,-.-.^ i. _,,, i� q 'i OK DISHWASHER m. 1,,„-.....L___.-. .-w-- ''' �a $'.-..,n.r -...._.- --.-.-5",. -. a.—. __.. FOOD DISPOSER i i. _.. i;__ 1 ii 11.. ri- ti_._,_._t__I' 4 �P ROORIARFA DRAIN -L 1 - j - KfERCEPRR J _ o ____ ____ _ i 'i c _ V- . _ ei ..ICITCHB4 SIN t i £� + itf LAVA y_ �_ —� <m — �RY c� st, � —� � 1--- ROOF DRAIN i _ -..._-.__ ___________.__L____L_-__— ,— _ i._ -..,1,,,- _ _ ___ ,..,,_.A__ _..__. _-----.4 SHOWER STALL d __AI __ _�ii_.._i',__. ° t _f_ 41 e' --4- .11____I SERVICE/MOPSIN '� t-- -i= -----�=� — _ A' — . g, JL 1-1 TOILET __.. _. _, ._.. � J_ as.,� 1 „ � URINAL r �1 •_-- —i� a; __I r•^ , .— {i.. ._ _ , • WASHINGll RAMIE 1 -- — .I'- `_i'' . f."__-,- ____., .___' _4.-. A :, _L _ WATER HEATB1ALLTYPt=B all ---_ « , .1 .-- - .; _...p 11tl 11uA Ifs QI ItEi4. 9 il.t_ _,,. ..,. i _.--- r x ,.., A - y— — ,,.ioM...__. -.-_ --• ��...--'ski..._..-- .,_....-.. - `- at..._ y.a Ala I _ - 2t .r T__. .—^-ice 1--•--_1. _.-_q.—.. _ INSURANCE COVERAGE I have amentleblity Insmance polity orbs substaeliel equleabett add,meets the neydreeleggs of MSC Ch.la. YBEd No© . VAR/CHECKED YES.i1ELSEY�yi�CMyME�iiPE OF/WVERAGE Brn4Cf�CKIM IRE .GaBOX BELOW many��'OLICY rd - O ER1 PE OF VIte l 0 BOND 0 MEWS NISORANCEIVANIM I am mare that the Demme does esibeeethe Insomnia coverage required by Clops 142 ofee fAessachesetts Emma,Lars.and that my*maker ont pant appffcadon tarait{eSOS. CHECK MOW: 0 AGENT SIGNKRRIE OMER OR AGENT - i hereby misty Weld ao des and 6d oa.l have created everchre this aeon are true sad sacs eeleIn the bestaf myi end Mel sapeadk end warmed eeatsr-tha pared t=tr-das Ode appRnagens»�9baInaoe . c/�' albsMw e Slain P Code r reed C c€142 um Laws. = - _ - ry PLUMBER'S HMO VeA):f GB,) er J #J `-- 7-',. sEt4A%TUB Ate( JP0 CDI ATi0I1g 1ur i _ ,i - f COMPANY NAME k,,;M, ..d._ A.� ADDRESS�. Pad - _ 1 trY{ W. �-h.0 �A_ 1STATE[NM 711 02.677 3 J TEL (5 00 - 45.54 I FAX -7q e-GIS4 CELL 150 36437.14jEwa ..Kiceic p.) C_17/Yl f'1 - II - f L f'/-/-