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HomeMy WebLinkAboutMiscellaneous - 1423 SALEM STREET 4/30/2018 (48) _ _. ....... ......s;,-kms r+rv..rw_.]'rl2`.ln d"..�'...a,wh./n•tl...r....r4 n-. .;.. ,...r .. Gf AORTof 7 0 - 9 Town of North Andover ",�;• � ' HEALTH DEPARTMENT ss�cNuse CHECK#: $ DATE: LOCATION: r !t H/O NAME: r c� CONTRACTOR NAME: Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ _T ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ N € ❑ Swimming Pool $ ❑ Tobacco $ ❑ Tras4lSolid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ 13 Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ iReport ❑ Other(Indicate) $ n 2725 `- Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer