HomeMy WebLinkAbout0000 SCHOONER LANE - JOB TRAILER �B r2�r�fZ.
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Commonwealth of Massachusetts
Board of Building Regulations and Standards
Manufacturing Building Program
THIRD PARTY INSPECTION AGENCY CERTIFICATION
BULK LABELS
This Section to be completed by Third Party Agency-Please print or type-UNITS MAY NOT BE
SHIPPED UNITL THIS CERTIFICATION IS COMPLETE and COMPONETS ARE LABELED
Section 1-MANUFACTURER INFORMATION(13brs\forms2\mfgthridpartycert-April , 2004
Manufacturer Name Mark Line Industries of PA,Inc. MC# 133
Address 502 Alexander Dr.Ephrata,PA 17522
Telephone (717)-733-1315 FAX (717)-733-1963
Email Address tfernbackOmarklinepa.com
SECT ON 2-BUILDING INFORMATION BBRS\DPS I.D# 00181-07
Street Name&Number 8ehabne Village, Pitcher way
City f7Hyannis State Ma Zip 02601
User Group 4 Construction Type 5B Unprotected
In signing this form below,I hereby certify that the units identified on this form have been inspected and are
constructed in accordance with the following codes,as applicable.
Massachusetts State Building Code(78o X Massachusetts State Electrical Code(527 CMR 12) X
CMR)'
Massachusetts State Plumbing and Fuel Massachusetts Architectural Access Board,Regulations(512
Gas'Code(247CMR) CMR)
Mfg Plant Inspector's Name:Thomas E.-Garner Third Party Inspector's:Peter Gingrich
Mfg Plant Inspector's Signature Third Party Inspector's Siy4ature
Section 3-BUILDER/DEALER/CERTIFIED INSTALLER INF RMATION
Builder/Dealer Maine Trailer
Address Rte 2 Bangor, Me 04401
Certified Installer n/a
Licensed Construction Supervisor N/A License Number ` N/A F
Section 4-Label Information(Indicate number of boxes and number of labels required)
Number of Units 1 Label Numbers Issued: MH-10 7 6 6 9
Manufacturer's Serial c
E-70225457 cj-,
Number ''
Manufacturer's Model B-10 3 6
Designation
167 Lyman Street/P.O. Box io63 Westborough,MA 01581
Kim berly.spencer(a�dps.state.ma.us
THE
Town of Barnstable
�
]regulatory Services
$ Thomas F. Geiler,Director
�A,Eo Mp,,•� Building Division
Thomas Perry, CBO,Building Commissioner
200 Main Street, Hyannis,MA 02601
www.town.barnstabl e.maxs
Office: 508-862-403.8 Fax: 508-790-6.230
PLEASE FORWARD THE ATTACHED PAGE(S) TO:
TO: ZS-A e'Q vC-S tk4 6 tf
ATTN:
FAX NO: -7 -7
FROM: P'40
DATE:
PAGE(S): ` (INCLUDING COVER SHEET)
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