0036-0038 BOSTON STREET BPA-17-161 HVAC . t
Conlmonivealtll of ivlassachtl, t"dik 0
Sheet Metal Permit 1011 MAR 13 A,
/ b.- 58
Date: / 31L
�1
Permit
I:stimated Joh('ust: k C�
Permit I�ec: S ,
I'I:uts Submitted: YFS NO Plans Reviewcct: YES NO
S
Business License tt -ice 3e., Applicant License t#
Business lntbrmation: Property Owner/Join Location Information:
I
Name. f ,,� S /�y� Name: r
Strect: ii-O-A1 7'
C Street:
City/Town:
City/'fawn:_ �1
Telephone: i� �'� il�Al
Telephone:
X922
Photo I.D. required/Copy of Photo I.D. attached: YES
No�
J-1 6unrestricted license SIX 11111121
J-2/,fit-2-restricted to dwellings 3-storics or less and commercial lip to 10,000 sq. tt./2-stories or less
Residential: 1-2 family )4 Multi-family Condo/Townhouses
Other
Commercial: office Retail Industrial Educational
Institutional Other
Square Footage: under 10,000 sq. it. over 10,000 sq. ft. Number of Stories:
Sheet metal work to he completed: New Work:
Renovation:
IIVAC'_ :Meta! Watershed Routing Kitchen Exhaust System
�'[etal C'hinuncy/ Vents Air Balancing
Provide detailed descriptio,,of work to be done:
rna t t_ b .q-- C? .G 1
f' a
♦ r .
INSURANCE COVERAGE:
urrent liabili insurance policy or its equivalent which meets the requirements of M.G.L.Ch.M Y0s' No[�
I have a c —.�. rials box below.
If you have checked Yes,Indicate the type of coverage by checking the appro p
A liability insurance policy V Other type of indemnity ❑
Bond ❑
nce
OWNER'S INSURANCE WAVER:i am aware that the licensee e01s�have
the
wniv rachis coverage
required by Chapter M of the
Massach}{setts Genaral`•i.aWs,and that my signature on this p Check One Only
Agent C1Owner C3
f
Signature of Owner or Owner's Agent
application will d
0 chocking this box(],I hereby certify that all of theeda�?.let Work and Installations performed rmation I have submitted lunder the permit issuediforPthis apps ars true and
Y
accurate to the boat of my knowledge and that all she
In compliance with All pertinent provision of the Massachusetts Building Code and Chapter 112 of the Genera NO�^
Duct inspection required prior to Insulation installation:YES
prorlreSS [ns U
Comments
Dat
Final 11MJINCIWII
o�3ment
Type of License:
By 171 master
rale ❑blaster-Restricted f
i
❑Joumeyperson Signature of Licensee
I
f��n,nt a ❑Journeyperson Restricted License Number:
1
rod S – — Check at r�ev.y.rnss,; v''iL
_ V
Inspactor Signature of permit Approval