16 LYNCH STREET - BPA-17-141 HVAC $4 9 CK 13(o
Commonwealth of Massachusetts
Sheet Metal Permit
Date: i _ Permit#
IN
LJ 0,1
Estimated Job Cost: $ 0.00 7 tU� Permit Fee: $
Plans Submitted: YES NO Plans Reviewed: YES NO
Business License# Applicant License #
Business Information: Property Owner/Job Location Information:
1 Namc;:l.�r�(2C� �M Name: LQIM A Cep
Street:5
Street: S� ,e
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City/Town: McJk t1�n Mft City/Town: Sa(Q M
Telephone: -M (0k,e Telephone: 91b 9`4`1 - 9300
Photo I,D. required /Copy of Photo I.D. attached: YES X NO
Staff Initial
J-1 / tQ
-1-unrestricted licen
J-2 /M-2-restricted to dwellings 3-stories or less and commercial up to 10,000 sq. ft. /2-stories or less
Residential: 1-2 family Multi-family Condo /Townhouses Other
Commercial: Office Retail Industrial Educational
Institutional Other
Square rootage: under 10,000 sq. ft. over 10,000 sq. ft. Number of Stories:
Sheet metal work to be completed: New Work Renovation:
HVAC Metal Watershed Roofing Kitchen Exhaust System__
Metal Chinuley/Vents Air Balancing
Provide detailed description of work to be done:
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