P-29-165 NEW DEDUCT METER 10/26/2020
DISPLAY PERMIT IN A CONSPICUOUS PLACE ON THE PREMISES
Commonwealth of Massachusetts
City of Salem
'CNINE 98 Washington St,3rd Floor Salem,MA 01970(978)745-9595 x5641
Kimberley Driscoll PLUMBING PERMIT
Mayor
Date: October 26, 2020 Fee: $25.00 NO. P-20-165
Building Location: 10 OSBORNE HILL DRIVE , Applicant Name: Jefferson Desir
Type of Occupancy: Residential Type of Work: Deduct Meter
Work Description: New deduct meter
Contractor Name:JEFFERSON DESIR Contractor Phone:
Contractor Address:
, SALEM MA 019700874
SALEM
MA
019700874
License Type:Master Plumber License No:15880 License Exp:05/01/2022
The recipient of this permit accepts this permit on the condition that, as owner or as agent of the owner, he/she agrees to comply
with all Building &Zoning Ordinances of the City of Salem &the State Statutes of the Commonwealth of Massachusetts regarding
the use, occupancy&type of building to be constructed, added to, or altered. Additional conditions listed below:
All permits approved are subject to inspections performed by a representative of this office.
Dedicated Dedicated
Cross Special Dedicated Dedicated Dedicated Water Drinking Floor/Area Interceptor Water
Floor# Bathtub Connection Waste Gas/Oil/San Grease Grey Water Recycle Dishwasher Fountain Drain (Interior) Heater
Device System d System System System System
Count 1 1
•
Washing Kitchen Shower Stall Service/Mo Food Water Deduct
Floor# Urinal Machine Sink Lavatory Roof Drain Count p Toilet Disposer Piping Water Other
Connection Meter
1 1
1 1
October 26,2020
Plumbing/Gas Inspector Signature Date
Calf(978)619-5639 For Inspection between 8-9am or 12-1 p Monday through Thursday
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