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Home My WebLink AboutMiscellaneous - 135 LACONIA CIRCLE 4/30/2018 (2) 135 LACONIA CIRCLE 210,105.D-0131 0000.0 rr Date./ ... ......... 0 TOWN OF NORTH ANDOVER. PERMIT FOR WIRING C" This certifies that ..... ......................................................................... has permission to perform ..........>i�.............. .. .......................................... wiring in the building of ... .................................. at.Z.A�........... .. ..... .North Andover,Mass. . ... .... Fee..:�............ Lic.No.... .. .. ............. LLECTrZCAL Ik ........... PikR Check # 85 'i 6 pp,, Official Use Only Com.m.onwza&n�MasdacLatb .l� Permit No. -lJePar(inarrf a�.}ira �arvicas Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leaveblank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK Code MEC 527 CMR 12.00 e f rmed in accordance with the Massachusetu Electrical Co (MEC),All work to be p r o t (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: City or°Town of: _ ,nrle3rlc€- To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. - � pp I Location (Street& Number), vj Owner or Tenant o� ' , Telephone No. 7 -yd _/ 6d v _ Owner's Address Ls this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) PurP ese of Building Utility Authorization No. Fx...tng•_ervtce P c Am s Vols Overhead ❑ Undgrd❑ Nv.of Meters — New Ser-ice Amps / _Volts Overhead ElUndgrd:C. No.of Meters Number of Feeders and Ampacity _•_ Loca*:on.and Nature of Proposed Electrical Work: �g l' t G� Ot= �J2L;ca ti,t 0 r• -itr e�;4 S j r Completion o the ollowin cable m •be iva v�ed by the Inroector•of iPirer.. I!, j -- o.o 'dotal No.o;Recessed Luminaires i�lo..of Ceii.-Susp.(Paddle)Fans Transformer — :CVA r Get;eratoes KVA Ne.of Luminaire Outlets �o, of Hit Tubs o. 4 er e o ncy tgn ing -- Above n neg No.'of L:iminaires Swimming Pool d. ❑ rod. ❑ Batte Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones o.o election and No.of Switches No.of Gas Burners Initiating Devices Total No.of AlertingDevices No.of Ranges No.of Air Cond. Tons Heat Pump umber ons 7Ao.o e—f-Contained No.of Waste Disposers Totals: Detection/Alertin Devices Municipal fie, _—� No.of Dishwashers Space/Area Heating KW Lo�l❑ Connection ❑ Heating Appliances Security Systems:* `� No.of Dryers g�-A pp t No.of Devices or E uivalent! No.of WaterNo.of No.of ata Wiring: Heaters KV Signs Ballasts No.of Devices or Equivalent e ecomtnunications Wtrin No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or E uivalent OTHER: / C2 - �_. Attach additional detail tf desired,or as required by the Inspector of Kres Estimated Value of Electrical Work: 15,00 (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE—COVERAGE:�Unless w ived by the owner,no permit for the performance of electrical work may issue unless licensee provides pro,--A'6 f liability inscrance including"completed operation"coverage or its substantial equivalent. The undersigned.certifies that such coverage,is in fore:,and has exhibited proof of same to the permit issuing office. CHECK ONE: DISURANCt Q BOND ❑ OTHER ❑ (Specify:) I certify,under the pains and penalties of perjury that the information on this application is true and complete. FIRM NAME: � "__0 LIC.NO.:Licensee: (Y1Qf l� �� $ignattirLIC.NO.: 'y5C, (If applicable,enter "exempt"in the lice wnber line.) Bus.Tel.No.• OsAddress: I � (lam u l r)Ttrn 1 r. A \1 S �— Alt Tel.No.: (XXL ,�� *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER:.I am aware that the Licensee rmally does not have the liability insurance coverage no required by law. By rriy signature below,I hereby waive this requirement. I am the(check one)E]owner owner's agent. PERMIT : S 5 • Owner/Agent - it FEE . Signature Telephone No. ✓ld !`pammonwea�r o�./�Oeeac�uieel�3 \` DEPARTMENT OF PUBLIC SAFETY '4'n�_ • S•LICENSE — .. Ij" Number: SS CO .000953 air Blrthdale: 02107/1958 Expires: 02/07/2009 Tr. no: 167,0 S•License: ADT SECURITY SERVICE MARK A BROPHY SR I i MORSE ST / NORWOOD, MA 02062 C DIG SAFE CALL CENTER: (I Commissloner MASSACHUSETTS �• kvueE� DRIVER'S LICENSE I S29197428 1 DUEOfsIATX cuss aEfT" pnalff tsx 02-07-1958 D 5-10aw M 02-07-2009 BROPHY MARK A 104 BOSTON ST MIDDLETON,MA 01949.2113a� Fold,Then Detach Along AM Perloralloni -I COMMONWEALTH OF MASSACHUSETTS BOARD OF ELECTRICIANS FR1:13'STER'ED SYSTEM CONTRACTOR I i ISSUES THIS LICENSE TO TYPE AD'r, ECURITY SERVICES , INC . MARK A' BROPHY SR -C 111 (MORSE ST i NORWOOD MA 02062-4602 353795 45 C 07/31/10 353795 rola,Then Delach Along At Perloraikms