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18D-040 (9) 3 00 MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM PLUMBING WORK L TOCITY NORTHAMPTON MA DATE 12-17-2018 PERMIT# —II I I JOBSITE ADDRESS 375 KING STREET OWNER'S NAME PRIDE POWNER ADDRESS 246 COTTAGE ST.SPRINGFIELD,MA TEL 413-737-6992 FAX 731-5852 TYPE OR OCCUPANCYTYPE COMMERCIAL EDUCATIONAL ❑ R ENTIAL❑ PRINT CLEARLY NEW:❑ RENOVATION:F-1 REPLACEMENT:❑ P NSSUBMITT ESE] NO❑ FIXTURES 1 FLOOR BSM 1 2 3 4 5 9 0 11 12 13 14 BATHTUB CROSS CONNECTION DEVICE DEDICATED SPECIAL WASTE SYSTEM DEDICATED GAS/OILSAND SYSTEM DEDICATED GREASE SYSTEM DEDICATED GRAY WATER SYSTEM DEDICATED WATER RECYCLE SYSTEM DISHWASHER DRINKING FOUNTAIN FOOD DISPOSER FLOOR 1 AREA DRAIN INTERCEPTOR INTERIOR KITCHEN SINK LAVATORY ROOF DRAIN SHOWER STALL SERVICE I MOP SINK brs TOILET •.wn URINAL WASHING MACHINE CONNECTION ELL WATER HEATER ALL TYPES WATER PIPING t OTHER INSURANCE COVERAGE: I have a current I bability nsurance policy or its substantial equivalent which meets the requirements of MGL Ch.142. YES❑ NO El IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY[I OTHER TYPE OF I NDEMNITY © 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 worry that ail 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 volt be In compliath yam a (I Pertinent provision of the Massachusetts State Plumbing Cade and Chapter 142 of the General PLUMBER'S NAME JOHN DALEY LICENSE# 30293 ti SIGNAL iE MP❑ JPQ J17�1Vt V'joO CORPORATION❑# PARTNERSHIP❑# LLC❑#� COMPANY NAME ADDRESS 9-C BLANDFORD HILL RD CITY HUNTINGTON STATE® ZIP 01050 TEL 413-336-6063 FAX CELL 41&3366063 EMAIL JOHNKDALEY YAHOO.COM ROUGH PLUMBING INSPECTION NOTES BELOW FOR OFFICE USE ONLY FINAL INSPECTION NOTFS Yes No THIS APPLICATION SERVES AS THE PERMIT ❑ ❑ FEE: f PERMIT Al PLAN REVIEW NOTES _ � Cft of 'Bartkows3n Larry Eldridge <(ldndge@northamptonma.gov> FW: Plumbing Permit �� - 1 message Dave Sabourin <DSabourin@pridestores.com> Thu, Mar 7, 2019 at 9:03 AM To. "Leidridge@northamptonme.9bal<Leldridge@nWhamptonma.gov> Larry, See below for email sent to remove John Daley as plumber of project. Please feel free to contact myself or Gary Welch should you require anything else. Respectfully, David Sabourin, Senior Project Mgr. Pride 246 Cottage St. Springfield, MA.01104 Office:413.737-6992, Fax:413-73113852 Cell: 413.433-7926 From: Dave Sabourin Sent: Wednesday, March 06,2019 6:71 AM To: 'Ihasbrouck@northamptonma.gov' <Ihasbrouck@northamptonmagov> Subject: FW. Plumbing Permit As a follow up to our meeting and conversation last week. Please verify that the attached permit issued to John K. Daley has been cancelled as he is no longer employed by Pride and will have no other responsibilities on this job. Our new Plumber will submitting a new application and scheduling a meeting with the plumbing inspector to take over this job. Respectfully, Dave David Sabourin, Senior Project Mgr. Pride 246 Cottage St. Springfield, MA. 01104 Office: 413-737-6992, Fax: 413-731-5852 Cell: 413-133-7926 From: Meghan Cahill <mcahill@northamptonma.gov> Sent: Friday, March 01, 2019 11:18 AM To: Dave Sabourin<DSabourin@pridestorescom> Subject: Plumbing Permit Here is the Plumbing Permit you requested. Let me know if you have any questions. Meghan Cahill Inspection Services Building Department 212 Main Street Northampton, MA 01060 413-687-1271 in 375 King.pdf 1631K