HomeMy WebLinkAboutG-03-035TOWN'OF YARMOUTH
r
Building Department
s Town Hall
Yarmouth, MA 02664
(508) 398-2231 exL261
Building Location: �m ��L�� / ► GL
Owner's Name:
Owner's Address:
PERMIT TO DO GASFITTING WORK
(OFFICE USE ONLY
Recorded By:
PERMIT NO.
Permit Fee: _
Payment Type: ---
Check
Check Number:
Issue Date:
Type of Work:
Comments:
Owner's Telephone:
Gasfitter Name:
License Number:
Company Name:
Company Phone:
INSPECTION RECORD
Date Note Progress - Corrections and Remarks Inspector
7-/ S-0 Z1 Xr-1 Gt.�✓fa_ 2oF. �� E••c i9D0E0
Date Printed: 5/16/02
MASSACHUSE'T'TS UNIFORM APPLICATION FOR PERMIT TO DO GASFITTING
(Print or Type)
f f-
y J�
yGK/1Mass.
City, Town
Building G.si'�1���Pofl'!� ��•
AT: Location��R�TS�
Date
Permit #.rrQ3'o3S
Owner's
Name 10 4 0-cicHQUdi
i
Type of Occupancy: f?`''
New ® Rpnovation ❑ ' Replacement ❑
Plans Submitted Yes ❑ 'No [2
(Print or Type)
Installing Company Name PN6alggT
Address M ;YqNA^5� dG5/
Check. One: Certificate
aCorp.
❑ Partnership
❑ firm/Company
Business Telephone /-5o$=TOS-0G& Name of Licensed Plumber. or Gasfitter
• 1JA Ui � IG�hcta
1 hereby certify that all of lite details and htfouualion 1 have submitted (at enteted) In above application ate Itue and occutate to the best of my
knowledge and that all plumbing work and Installations petfonucd under Permit Issued tot this application will be In compliance with all pertinent
provisions of tlse hussacitusats state Cas Code and Qaptcr 142 of the Ccncnl Laws.
By TYPE LICENSE:
Plumber
Title Gasfitter Signature of ,icensed
City/Town: i blaster Plumber or Gasfitter
Journeyman _ �.�� _.._
APPROVED (or•rlc� •)r WILY) License Nun'hcr
009
MIN
INIMM
MESON
0
moomm
0100001
No oil
0
SO
1in
1111MMIR
521
111
INS
onommill
IN
INN
MIN
0
NONE
NONNI
(Print or Type)
Installing Company Name PN6alggT
Address M ;YqNA^5� dG5/
Check. One: Certificate
aCorp.
❑ Partnership
❑ firm/Company
Business Telephone /-5o$=TOS-0G& Name of Licensed Plumber. or Gasfitter
• 1JA Ui � IG�hcta
1 hereby certify that all of lite details and htfouualion 1 have submitted (at enteted) In above application ate Itue and occutate to the best of my
knowledge and that all plumbing work and Installations petfonucd under Permit Issued tot this application will be In compliance with all pertinent
provisions of tlse hussacitusats state Cas Code and Qaptcr 142 of the Ccncnl Laws.
By TYPE LICENSE:
Plumber
Title Gasfitter Signature of ,icensed
City/Town: i blaster Plumber or Gasfitter
Journeyman _ �.�� _.._
APPROVED (or•rlc� •)r WILY) License Nun'hcr
BELOW FOR OFFICE USE ONLY
FINAL INSPECTION SKETCHES PROGRESS INSPECTION
FEE
NO.
APPLICATION FOR PERMIT TO DO GASFITTING
K2_ajhTvo
NAME i TYPE OF BUILDING(RI(H*t/i ScEkucN
•
iZx� ruvT �4 L - �� i o'�w, 1 �, •
LOCATION OF BUILDINGQ Q>A OQ-' iSLON77
PLUMBER OR GASFITTER
. c-
.
LIC. NO. q `16
ti
PERMIT GRANTED
DATE 18
` GASINSPECTOR
1/3(Y2015 SlipGen - Portal Hone
Town of Yarmouth
an i
Template [Building Dept]
Slipsheet Identifier [sg18288]
Document Category Building Permits
Map -Block Number 005.6
Street Number
0006
Street Name
SMITHS POINT RD
Department
Building
Parcel ID
66
Backfile Batch Scan
No
Document?
Additional Naming Info
Index Operator
Operator, Yarmscan
Date - Time
2015-01-30 - 10:30
httpJAaserfiche121S1ipGW 1/1