15 BELLEAU RD - BPA-14-495 SHEET METAL MRW Mechanical 781-990-1594 p.1
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CIS 3 5-7 g
ConlIII oil weal th ortti[aSsac6«setts
1 Sheet Metal Permit
-
((}} Permit 9Fsiimated lob Cost: S b 00 y
-- Permit Fee: S v
Plans Sul»»iltcd; YES NO
Plans R"'lewed: YES NO
eu.in�7s License F —
Applicant License# %O �-
131'sincss Information:
/� : Property Owner/Job l.()catiion In orn,ation:
Name' M_ I_ ct�a�: ju L e F
( Name: —1�, .ti,c.It�Y rP C �f, p;
S11'ecl: V �A I'"
/� ( J Street;
Cityfl'uwn: 1 '1Irked f 1� S
City/Town:
Telepnone: P i- r Sq-1111
-----..—_ . Telephone:
Photo LD. required/Copy of Photo LD.attached:. YFS NO
restricted license �—
seaff Init41
J-2/AI-2-restricted to dwellings 3stories or Icss and cun»ncrcial up iu 10,000 sq. R./2-stories or less
ItcAleutial: 1-2 thmily� Multi-Fan1i1
Y_ Condo/Townhouses_ Other_
Commercial: 01'ice_ Retail
Industrial_ Educational_
Institutional Other_
Square Footage: under 10,000 sq. 11.X over 10,000 sq, fl._ Nuntber of Stories:
Sheet'octal work to be contpietetl: New Work: X —
IIVAC *vIcUlf Watershed Roolinb,
C'hinu,ey Vents
Kitchen Exhaust System
Ai _
�rctal %
_ r 13afancing_
Provide detailyd Jlixriplion orwork to be done:
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r-dr",s� r� s
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MRW Mechanical 781-990-1594 p.2
3
INSURANCE COVERAGE: ,F�
1 have a current liabilityInsurance policy or its equivalent which meets the requirements of M.G.L.Ch. 1t2 Yesyy No
If you have checked Yes,indicate the type of coverage by checking the appropriate box below:
A liability insurance policy ❑ Other type of Indemnity ElBond ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 112 of the
Massachusetts General Laws,and that my signature on this permit application waives this requirement.
Check One Only
Owner ❑ Agent ❑
Signature of Owner cr Owner's Agent
By checking this"xO.I hereby certlfy that all of the details and Information I have submitted(or entered)regarding this application are IN*and
accurate to the best of my knowledge and that all shoat metal work and Installations performed under the permit Issued for this applleatlon will be
In compliance with all pertinent provision of the Massachuselts Building Code and Chapter t112 of the General Laws.
Duct Inspection required prior to Insulation Installation:YES v NO
Prozu htspLtitiats
Date Comments
Final lnsncction
Datu Comments
Type of License: {
ay t�kl aster j
—` I
rile _— ❑plaster-Restricted
QJmuneyperson Signature of Licensee
ncr....t A -Restricted3 6 v
_-_-- QJcufneyperson
License Number: .
roe 5 "-------- C] Check
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inspucro.signaluro of Permit Appraval
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COMMONWEALTH OF MASSACHUSETTS ;• . Ip -..
ME
SHEET METAL WORKERS ,
AS A BUSINESS
'ISSUES THE ABOVE LICENSE to..
MATTHEW R WALDMAN
MRW MECHANICAL CORp
= G DROMLIN RD -
MARBLEHEAD MA 01945-1720 N=
SSw�w� 11/28/14
305124
Fold Mall p -al9 Tunes along Pyr(oratlons B= - -
/oreDpiachulg —
COMMO,,, OF MA SSACHUSETTS
- ' e • •:m3xR111 n
SHEET METAL WORKERS
AS A MASTER-UNRESTRICTED
ISSUES THE ABOVE LICENSE TO:
M ATTHEW .R WALDMAN
6- DRUMLIN RD
MARBLEHEAD 04 .v5
0 0- N
1 -1720
`'CII�wu=02 09/23/14 284224
£'d 76S 1-066-12L eowegOBN M21N