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HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (45) 7852 } Of AORTN Town of North Andover HEALTH DEPARTMENT CHU CHECK#: __23 V DATE: - LOCATION: /Y13 H/O NAME: J7Cr5 CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ 'n ❑ Massage Practice $ t: ❑ Offal(Septic)Hauler $ >' ❑ Recreational Camp $ ` ❑ Sun tanning $ ' ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems. ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ r ❑ Septic Disposal Works Installers(DWI) $ r_. ❑ Title 5 Inspector $ 5Q —❑ Title 5 Report $ 56 - 0 Other:(Indicate) $ V` Hea th Agent Initials White-Applicant Yellow-Health Pink-Treasurer u