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32C-147 (8) 32C. -/L/7_oo / n L. v T c. AAA, '2 i 'I\A Mot vt AVC r L , IV v v4-h1 c,rr► rtni Ivt/+ of ov 0VVYke �} a»1e ; C-.00d e LLC o -41 _ N ( Si C i ZHu ) TO S c , _-t e owykey T it C k e( ✓Yt a /ve iw-e NoY'kf1q p-65-Yk • m el 0 i C' h Z c Lee Y ; c -eD C c; hfi v VV .e 'Y e ( e ct s Yleo-t +it, YeCI) o t-; _v •-c-1,y ( 4- e Ye \lip VUvyIL Of 'tke f)( rviber . Y�Ct ri You S i C 2 t-4 Gk 1 :±1/03 UX20 Ckl1.5 d6go °- ._.---Th �' �- ;A.,. , MASSA I E S UNIFORM APPLI ATIO OR A PERMIT TO PERFORM PLUMBING WORK ,,,'. ., P 1; C1 tX.yl- -4 \r,-y I MA DATE , Ile as 1 PERMIT# ( t'2u2Z"61 o c c..1 JOEtSITE ADDRESS Ii\YY\v•int ✓1 vekVQ - OWNER'S NAME �� _ JOWNER ADDRESS • TEL r . , . [, E FAX TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL 0 RESIDENTIAL L' PRINT CLEARLY NEW:❑ RENOVATION:d REPLACEMENT:❑ PLANS SUBMI D: YES 0 NOD F_IX"TURES_T FLOOR—► DSM 2 49 151 G G nm9N alMmtiNoci N1Imr,IN„.m1Si NIMMINI I 13 14 i-i3ATHTUB I 'B __ E l I.NN_ Ep_ - IN 4I ,m -':1I:I s .i :;f 1l.l,1 iMEiiii CROSSCONNECTIONDEVICE Mi„1I DEDICATED SPECIAL WASTE SYSTEM -�1 DEDICATED GAS/OIUSAND SYSTEM n. sE DEDICATED GREASE SYSTEM 1 51MingDEDICATED GRAY WATER SYSTEM 1 ! -DEDICATED WATER RECYCLE SYSTEM 1 DISHWASHER FOOD IS FOUNTAIN 1 =�M M ___- - 1=i10D DISPOSER Ir j f I"I.00R/AREA DRAIN _ INTERCEPTOR(INTERIOR) 1 1 _Kr- i'CHEN SINK LAVATORY 1 1 �; Ei ROOF DRAIN NE gm� :m L A Mil,Ma;Nig NM SHOWER STALL ! I I=W • a.Tl.•11j l i•!11M - i_13 T:2ST • 8- ERwcE/MOP SINK 111111.111111 , , I ir-' TOILET 1 -- WASURIHING MACHINE CONNECTION NI MK OM _iii._ ----------- WATER PIPING �' t mill_ WATER HEATER ALL TYPES ��1.111.1111.1.1.11.NM MN MR -OTi ILr� Kum (i MN'MI - �miI�I�-(�� _ -.- Imu imam I mIImimi0 INSURANCE COVERAGE: I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL Ch.142 YE'S NO ❑ IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY 13 OTHER TYPE OF INDEMNITY ❑ BOND El OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 42 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNE' 0 AGENT ❑ SIGNATURE OF OWNER OR AGENT i hereby certify that all of the details and information I have submitted or entered regarding this application aro trio and accurate to ti .best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in co is with all Porting provision of the Massachusetts State Plumbing Code and Chapter'142 of the General Laws. 4 t / PLUMBER'S NAME C,.\-r t 3 ?� , LICENSE#1151' I : GNAT E MP© JP(] CORPORATION❑#I 'PARTNERSHIP❑#I I LLC❑ I I COMPANY NAME ) ,.,... ,.��.,.,�r �i\\ C 'ADDRESS I\ a--,k rt-NO.ov, `4 I CITY Et,.)(:s. Y, STATE xyso, ZIP f L"1\0%a. I TEL I1-\\):) oa-A •(e,' RiA FAX ,It3-4T1'6 CELL EMAIL I.\-rfi'0, e/L\\/04..c: C c-tiv 1 ie.,4., A rik. • k§. 9-s• fk • , ;4. .0' to • .4* y . _ . . t_ 5 t • . . , 1") r O Z 74 - to .b- � /r ov �tJi �fire._�� � ASSACHUSETT UNIFO M APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK t,,�t{ Ti )� i q. i'i� gj QITY ` N x•-inn.. rry l _ MA DATEI-6 I[lei D. . 'PERMIT#(,-Zp 2 -- O( 42 o JOBSETE ADDRESS' t% M;cy„\.i ck Aue. 1 OWNER'S NAME k l7._Lt }C K,y IJ-._ m l cj OWNER ADDRESS I TE rieNt3 'jam- ,(1 L I FAX TYPE OR 1 TRIN't OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL❑ RESIDENTIALQ i CLEARLY NEW:❑ RENOVATION:RI REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOD APPLIANCES 1. FLOORS-► BSM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOOSTER I b - - CONVERSION BURNER I J COOK STOVE j i ` , _DIRECT VENT HEATER ( 1 - _ I DRYER I 1 FIREPLACE I - IN - FRYOLATOR I 4 ` FURNACE GENERATOR GRILLE [ INFRARED HEATER 1 1 II LABORATORY COCKS [ i _ _ MAKEUP AIR UNIT i 1 1 r� ►ite.11 & ' 1 I, 4. ' • _OVEN POOL HEATER in 1 fPPR�� , •4p Af,DDI(,1lrc i ROOM/SPACE HEATER I — - _. ROOF TOP UNIT TEST ii UNIT HEATER „ ' UNVENTED ROOM HEATERI 1 Iaim „.„ OTH R WATER HEATER mm im. . Ill INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 ES ®NO❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY El OTHER TYPE INDEMNITY 0 BOND 111 OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 42 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNE' ❑ AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application aro true and accurato to th; best o my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complian Pertip:nt p `sion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. fil(.1./4/ ` PLUMBER-GASFITTER NAME , •,n v i 10s•.•;v, LICENSE#Iv*, SIGKA.URE MP 0 MGF❑ JP 0 JGF❑ LPG!D CORPORATION❑#I 'PARTNERSHIP❑#I 1 LLC❑# COMPANY NAME:e,,,,;,4, ADDRESS k . •i} i(V1n,, -, CITY Lv,L STATE Yrcl ZIPIQ►o'isa TEL y.\3-411 L'IR '+ FAX NO,411-140 _CELL EMAIL \v-NCer pv,,‘r,rn.C_. ca�m * • , *,• • i•-••• )1, A •Nob 3 -z-1 --z?' W 1 _ CJitela44)/1 0$ 3 •� ZZ c �� #� I // gin 7 ,;t1' 1 r" I; 1 ASSACHUSETTS UNIFOR APPL CATION FOR A PERMIT TO PERFORM GAS FITTING WORK�, ` ,ill COY fr, y.N� MA DATEI`J11lo(a?. I PERMIT#(?202Z- 0I 4'/ co- ,G- JgBSI'I'E ADDRESS'\\ xY);cVvAirvva i,rN AVe. a OWNER'S NAME I'1(\Z7)1 Y:41\4 1 LC= OWNER ADDRESS TELI( FAX 1 YP)G Olt OCCUPANCY TYPE COMMERCIAL❑ PRINT EDUCATIONAL 0 RESIDENTIALI CLEARLY NEW:0 RENOVATION:Er REPLACEMENT:❑ PLANS SUBMITTED: YES❑ NOD APPLIANCES 1 FLOORS-* BM 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER , ` _ I i BOOSTER [ i 1 1 - I I._ CONVERSION BURNER j 1 I IMil,=I�.--._ J COOK STOVE 11111111 �DIRECT VENT HEATER i WE _DRYER I� FIREPLACEtip ism lin FRYOLATOR �l ,INii MN FURNACE 111111111111111111111111 owi ENl I I J GENERATOR 111111111111111111111111111111111 Mai M mu GRILLE 111111i111111l111111111111111'Eli ism MN INFRARED HEATER anyskom _.. LABORATORY COCKS IIIIIIIIIM �1111111111101 _MAKEUP AIR UNIT OVEN =ill';III 1Mi111111i j POOL 'au � i.�j - v • - ROOM H SPACE HEATER ? ligt - ( ��wally - ,I {L'�JI �- _ ROOF TOP UNIT '' '� ;I,�aw No e, gm TEST 1111111,RE1111'111'1111/g6-i- ltalE- -UNIT � l HEATER �— � - -1 _ _�. I�I��Iar L��� . UNVENTED WATER HEAT OM HEATER �! 11 III I I ��,'�I���Ir _ ER ��M OTHER �'I�I���'®1�Iimimiaow mil_.- MI MI III —���� 1 I 1 _j . J INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL.Ch.142 ES ®NO ❑ I IF YOU CHECKED YES,PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY® OTHER TYPE INDEMNITY 0 BOND $ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 42 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNS' ❑ AGENT ID SIGNATURE OF OWNER OR AGENT hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to th; best o my knowlodgo and that all plumbing work and installations performed under the permit issued for this application will be in complian 9Iall P,orti�, t p Sion of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. �7 �it/C PLUMBER-GASFITTER NAME I\c.jc, 3.. :v, LICENSE#Ir3AAa SIGNA URE MP 0 MGF❑ JP 0 JGF❑ LPG!❑ CORPORATION❑#I PARTNERSHIP DUI LLC❑# COMPANY NAME:e,,not,V��,2e�r.+r\4,i•zw„r,r cIi 1„LC ADDRESS 1 ",2,,4 ty ,J-, `4- CITY 1._,,e,2_ STATE Y` ZI P J o t o` a TEL .1.V -411•idAISA FAX R\3,H11 - 4J, CELL EMAIL 'WAS a'P,N_. a1n,Q_ na .c* a.. • "op :40 7,, 4,4 (\IR, W4 iff) eJk. -46 0-ratan * 0$ 3 ?.r 2-2- �. zs-y if MASSACHUSETTS UNIF RM A PLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK TV--iti-—0 , q ' ,r% IN ArICL_A i.ev-) MA DATE'7j 1.14 ate. I PERMIT#GP ,2Z—O f 40 - , r.-) JOBSITE ADDRESS!\\ Ty\\.rvie\ 1 ,.1AJ.P '5t OWNER'SNAME � ninIMi�_ L- i 0 I OWNER ADDRESS ( TE r j. , , ,• • FAX+ = TYPOR 0• UPANCY TYPE COMMERCIAL EDUCATIONAL PRINT ❑ RESIDENTIAL Er CLEARLY_` N; :0 RENOVATION: v❑r REPLACEMENT:0 PLANS SUBMITTED: AYES❑ NOD - APPLIANCES Z__ FLOORS-+ BSM 1 2 3 4 5 6 7 8 9 10 11 � 12 13 14 BOILER 111111M' � �'���um N�I jmot�o � i �I BOOSTER � 1,111111111.NM!MI illEt Milli=II IIIIIIJ CONVERSION BURNER I®_Iiii.__J_;_ MIN i—liMil Mil ii=_'_I-1 COOK STOVE �l�l DEENTIER iiiiiiiiii.H FRYOLATOR � IIIIIl FURNACE 'IIIIIIII'I'iui GRILLE I�;i—r�i�jt _ INFRARED HEATER 111. ' LABORATORY COCKS MAKEUP AIR UNIT !Ii I 1 OVEN l IPOOL HEATER 5iiTII! !! U!II I I ROOM/SPACE HEATER ; I �■ . , ;- • - ROOF TOP UNIT � _ ' . . .' ,J TEST _ UNIT HEATER 1 .5_1 !,■ilrk Pi i UNVENTED ROOM HEATER 1 M R! I I I WATER HEATER OTHER MI M'■M 11.1ri.1.1.INN NMI,n MI=NMI MO Mi.NE i i 1 I 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 IE OTHER TYPE INDEMNITY 0 BOND ❑ OWNER'S INSURANCE WAIVER:I am aware that the licensee does not have the insurance coverage required by Chapter 1I2 of the Massachusetts General Laws,and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ❑ AGENT El 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 test o my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in complian ' all Ferti en p won of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. 0- PLUMBER-GASFITTER NAME IG I:6y ,v., LICENSE#Ir3.1(ki3 SIGQ A URE MP® MGF❑ JP❑ JGF❑ LPG(❑ CORPORATION❑# PARTNERSHIP❑# LLC❑# COMPANY NAME:e„.Ing_ty' b -n�.trrw,pr►ka1 Lk..0 ADDRESS I k 6 4 ty-v,,„ - CITY j)0_4.a_ STATE 'CM ZIP 0tc% TEL y\3-411-tcfC'#fai FAX 4,kb-411-I 4 O , CELL EMAILI'1y-NS0�9 vast- (g.0, i:oNnn 6\1 ()\ Ort .44