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HomeMy WebLinkAboutMiscellaneous - 143 Waverly Road Date.... . ....... .... + NOF TI{ TOWN OF NORTH ANDOVER p PERMIT FOR. WIRING ,SSACHUSEt 10 This certifies that ` —� � ....`1 `i�..v ........ .... ........................... .................. ,sem, ' has permission to perf� .....� ,!�;�.:�'< ............ ..........1......... ... wiring in the building ofv C���.��>" !.� -/�. �[ �..` ......... .............. .�!.X...../ North Andover,Mass. Fee.... ..... Lic-Nv. .. ........ .....:.... ......... ......... .........f f ELECTRICAL INSPECTOR —Ci�eck 4t �i`r7 l� 11W UU1YLiY1U1v rrr 1LWn yr 1r1t1ax1t,nU.usl i J �••w �� DEPARMEATOMBUMFEIY Permit No. BOARDOFFMPREVEMO7 NRF�GUTAHONS 120120 Occupancy&Fees Checked APPLICATTONFOR PERAff TOP RMELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSAC SSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover , To the Inspector of Wires: The undersigned applies for a permit to perform the electricalwork d cribed below. Location(Street&Number) , ,�, Owner or Tenant /7) Owner's Address Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box) Purpose of Building /f e- 5, ;Z,- , A r " Utility Authorization No. Existing Service Z.. Ampsik /Z Yv Volts Overhead M Underground No.of Meters New Service Amps� Volts Overhead EZ3 Underground No.of Meters Number of Feeders and Ampacity o Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps . Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP OTHER' i c �Irn�tattoeCars•`>ge'Aaa�arYbd�ett�gtriterrlerisafNla�cfi>s�tsGalaalLaws lhawaamailiabt1lyhsi==R&cyind&gCanp]M Covw,Wcr lssub aleyuivaht YES NO Iharesubrni&dva&dWdofsaneathe0ff=YES ffyeuhawt niWYFS,plea9 niic*fte peofa by drCUlgft INSURANCES BOND C7IHER (Pleasespt y) E=*dva1IrofE1xhJralWak$ WotkmStatt '`��G- 0 5 h>SpactimDaoeRegt>esmd Rwgh Final S>g WunderTrPdlaltiescfpetw RRMNAME d L,K !2—iq u e r'� L WNta Z-3 7 Lice= eq— Signaaae Li=wNo cf-�3 7 G-d BusalessTdNa dl 7- ? » Add - -- AItTeLNa OWNER'SINSURANCEWAIVER;IammmthattheLomeduesnothavetheinsuranceacreageaitssubstantialequivalentasmgmWbyMassa hamGataalLaws arcl that rrry sgrtatine cn dais parrrt app&cadrn waives tlis legtmernalt (Please check one) Owner [:3 Agent Telephone No. PERMIT FEE$ .. signature or Uwner or Agent IM I UJMVlV1V VVrJUJ[1 Ur 1r1t1LN3ML,"UJLM A L3 ���—1 DEPARTAIENT FPUNKSAFM Permit No. Y� BOARD OF FM PREVE MON 090 AHONS Sl7 12Bfl Occupancy&Fees Checked A PPLICATTONFOR PERMITTO P RMELECTRICAL WORK ALL WORK TO BE PERFORMED 1N ACCORDANCE WITH THE MASSAC SSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover �, To the Inspector of Wires: The undersigned applies for a permit to perform the electricaf`work d cribed below. Location(Street&Number) / C/ i Owner or Tenant o,5 S Owner's Address IC)7 Is this permit in conjunction with a building permit: Yes a No (Check Appropriate Box) ,t Purpose of Building i f 5 Utility Authorization No. Existing Service ��� Ampsi�c�Volts Overhead a Underground a No.of Meters New Service Amps Volts Overhead Underground No. of Meters Number of Feeders and Ampacity o Location and Nature of Proposed Electrical Work xra -a No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Pumps Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local r-7-1 Municipal r7 Other Connections No.of Water Heaters KW No.of No.of signs Bailasis No.Hydro Massage Tubs No,of Motors Total HP HER. Crneage PlastW1Dtberegtma x lsafMassach>ftCenaalLaws aarna11idxTtyhgaanelbficYirrlydrgGmV1leCowWcrils9 aluivalft YES [ErNO si*wiWdvaWptoofof=wlDlheOff=YES ( IfymhawdedWYES plemntdralelhetypeef by dr sor>D LJO�hIER EqicafimDwe Ewm*dVatreof>~1xbxa1Wcdc$ mStart - G- – kW=Do-F7t>esW Rotgh Final under Puv&imafpetjuv.. NAME \J LmwNo. �3 7 d" 76-11 IimmNo B11sk=TeLNO. 7 7 77 — T ;z 7 ' AltTel.N06 'SINSURANCEWANFR;Iamawa duthelioemed©mnotharEthehu meaneagearitsaksmWgivWmtasraclt WbyMasmchamG=Wlaws my9grrA=cnthisparr]M*abmwanesftregtm mff1 e check one) Owner 1:3 Agent Telephone No. PERMIT FEE$ signature or Owner Of Agent w. T1