6 VERONA ST - BUILDING INSPECTIONf r ,
I F 1 W $G Commonwealth of Massachusetts
_ G/K 30�
Sheet Metal Permit RECEIVED
Date : IliVECTIONAL SERVICES
Map Lot
Estimated Job Cost:
Plans Submitted: YES_ NO Plans Reviewed: YES— NO
Business License # /-70 Applicant License #
Business Informationnn: Property Owner/Job Location Information:
I �
Name: Name: y/�'^ cCA�J� (CC
Street: `'mac - G�- Street: b Ue-c""a' 9�
City/Town: �'� ^ Y�Q City/Town:
Telephone: 33 g ' �/y° - 3 80� Telephone: �7e/ 9 u
Photo I.D. required/Copy of Photo I.D. attached: YES NO
Building Type:
Residential: 1-2 family_ Multi-family Condo /Townhouses
Commercial: Office Retail Industrial Educational Institutional
Building Cubic Footage: under 35,000 cu. ft. over 35,000 cu. ft.
Sheet metal work to be completed: New Work: Renovation: _
HVAC 1' Metal Roofing_ Kitchen Exhaust System_ Chimney/Vents
Provide brief description of work to be done:
Qe , //,& Ale a c j w•wA A-r A" ST-o ,
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v
Inspector Signature
INSURANCE COVERAGE:
03'r r1:l3ft
I have a current liability insurance polrcyloi itss�tuivalent which meets the requirements of M.G.L.Ch.,112 Y0<6
If you have checked Yei, indicate the type of coverage by checking the appropriate box below:
/ 9 'If.
A liability insurance policy Ly Other type of indemnity ❑ Bond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts Ge eral aws,and 1pat my signature on this permit application waives this requirement.
Check One Only
F Owner Agent ❑
Signa re of Owner or Owner's Agent
By checking this bJ21,1 hereby certify that all 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 sheet metal work and installations performed under the permit issued for this application will be
in compliance with all pertinent provision of the Massachusetts Building Code and Chapter 112 of the General Laws.
Proeress Inspections
Date Comments
Final Inspection
Date Comments
Type of License:
By aster
Title
❑ Master-Restricted
Cityfrown
❑Journeyperson Signature of Licensee
Permit# r /
❑Journeyperson-Restricted License Number: 0 '7
Fee$ ❑
Check at www.mass.gov/dpl
Inspector Signature of Permit Approval
L
I -
2x5 ACHUSETTS IDEWIIFAIRCDATION
MJ NUMBER
aIyv 20�3�- ZB S09899055
. - max, _ is m M'
ate.—R.'f�• x ••�`
w z PARRON
a PA
CIFIC ACIFIC ST
1LYNN,3 PA MA 01902 I
.�GK. -"-�`BBOOI.1�Mfl Rry OI.tSA09Y� `
i COMMONWEALTH OF MASSACHUSETTS
SHEET META WO KERS
i AS AMASTER-UNRESTRICTED
ISSUES THE ABOVE LICENSE TO;' F
PAUL -J CARON 211
13 PACIFIC. ST
N LYNN
t MA` 01902-110 R
13041 00/28/12 9726 `