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Miscellaneous - 115 SHERWOOD DRIVE 4/30/2018 (22)
Cf NORTH,� ` 5428 3s �. e; •OCL 1 0 '_ 9 Town of North Andover ` '- HEALTH DEPARTMENT CHuse� CHECK#: / 7 ATE: LOCATION: 5- a� H/O NAME: 4 \ ' CONTRACTOR NAME: Type of Permit or License: (Check'17 x) A ❑ Animal ❑ Body Art Establishment $ ❑ Body Art Practitioner $ i i ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ; ❑ Massage Establishment $ ❑ Massage Practice $ { I ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ 1 ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: i ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ f ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ �tl �ispector $� 5'" i ❑ eport $ ❑ Other. (Indicate) $ n Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer