HomeMy WebLinkAboutMiscellaneous - 12 WILLIAM STREET 4/30/2018N
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Date.... 4.-..I.`I. 0.�.
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ...............5'.!✓. ....Sw e (-.......................................
has permission to perform .....!.��/C �'y,9srs ltriN
wiring in the building of ...........1'"�.f ...!Q.j?.............................
at ............... .'..'... c- L �, �f/?? S .......5 .� ...... ,North Andover, Mass.
Fee ..................... Lic. No. 9� 3.......................QLI�NSI;��....
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ELECTRIC
Check #
075'
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y{ri
Commonwealth of Massachusetts - -
! 111ici,!I 1 .r (lnh
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
PCH -nit No. � 31
Occupancy and Fee Chccked
[Rev. O Oj Ie;tee blankf
APPLICATION
ie I`FOR ! PERMIT TO n "1111 [Ile,PERFORM ELECTRICAL WORM
to I I�cUIe,II Code ! �If.0 ?. 5-, (`.IR I'.';1)
PL E. ISE PTL\T1.\' 1.\KOR TYPE. ILL 1.\Ft)RIfITIoN, Date: IV/ — 17- p
Ch or Tovvn of:
Ry this ',Ipplication the undersigned gives notice of his or li`er intention to pertorrll the electrical '.%ork de�crihed helilw.
Location (Street & Number) /Z�—
Owner or Tenant
Owner's address
7--
E.
Tv ephonc NO2 - /�c-7y
Is this permit in conjunction with a building permit? Yes VoEl (Check appropriate Bolt)
Purpose of Buildingyb /` Ltility authorization No. y—�U
Existing Service imps / Volts Overhead 0 Undgrd ❑ No. of N•leters
New Service le& amps /.2111 Z yvVolts OverheadL!ndgrd No. of .deters %
Number of Feeders and ampacity
Location and Nature of Proposed Electrical Work: �� W
e � � L°/7� � r✓
('<<nr :iclin�r r;';Ar;ulhnli,,f' lir!;Ic ;,,<n !.e lr,.ul.,/; ti iac !.i.r;i;.,,• r;j f
No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans No• ° I Total
Transformers KVA
No. of Luminaire Outlets No. of Hot Tubs Generators KVA
No. of Luminaires
In-
!Swimmin Pool .%bo%eEl
>;
0 . o. o mergency Lighting
stud. ' rnd.
No. of Oil Burners
Battery [:flits
FIRE AL-AR,NIS No. of Zones
No. of Receptacle outlets
No. of Switches
No, of Gas Burners
No• of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total Z-' No of ,alerting Devices
Tons
No. of Waste Disposers
Heat Pump Numher Tons KW
No. of Self -Contained
Totals:
Detectionr.\lerting Devices
No. of Dishwashers
Space/area Heating KW
Local ❑ Municipal El Other
Connection
Security Systems:''
No. of Dryers
Heating appliances KW
No. of Water
No. of No.
No. of devices or E uivalcut
Reuters KW
of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
------ -
No. Hydromassage bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. ul' Devices or Equivalent
OTHER:
ilir...;,,..,.I,;.;r..,, ,lr;�,tl,j .rc,�tr!, •.,'„d r.��u.r�,!!�1 ,'1� ;�,��',�... �. :r
F: tirnated V"duc of Electrical Work: t \•k hen rcc{uired by municipal poIicx,.)
Aork to Start: �1 _ C) L In: Fectioni to be rcquc'StCd in accordance with \IEC Rule 10, .uul upon completion.
1'NS1_ RAMC E CM ER:\C:E: I- nlca �aiaed by the tmjier. no permit Cor the pertornl;ulcc .;t electrical �rf,rk may 1 .ue tali(
'hc licc•Ilsec T'I'C `. ide`_• 111-ooror hahlllty ill-air:II1cC Including ,_'onipleted nperatloll ': ;'1 N1':1'!l' ?I' Its I.II`,(aIltIUl,tltllv,lli'Ill. 1).
11LIQI'MI Ile I'::'.'1'!ltte: that' Ich C',. fa"' !!1 If.l'.:U..ill..l I?;IS �' IIIhi(cdI' 1-twt CI '1110 tr; file rcrllllt
It'. 1111' �'Itl•:c'.
�rl�lry '.Ifler rIle 'Ir:u1 ..It/ ..,,��:�„ �/'r)p '/!N't'. !'f/ lie /JUt'ul,•/.'vll `t l.S 1. ;O (��'./�'�,:1 � 'r/:. r�i.i,.
ccnsec:
,CC llrlty .''6' (C!n �;ntlaCt!>1• t., l!;Cri' tUr this %,(.rk: !i 1 -------._�..---- -
• 1 �pllc,ll, le. �'rtcr pile liccn_,c number here: _ __
>W \FR'S !"vSl "tk.`-C E V1AIV.ER: I ,!m that Ill'. l.i';.:n:el:.;,... ',;, / /;,,,,.• the !i.tbiLh in ;ur;,nc._ :, 1 c ! , ! r:,!I,
le_µlired by law. RV nlN ' ;,,rrlturc bel, -t',. I hrrchy `.'v:li4c thi: r�(luiruncnt. I (._heck cnc) ❑ .;�(ner �J u ,
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