HomeMy WebLinkAboutMiscellaneous - 148 MAIN STREET 4/30/2018 (52) L
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APPLICATION FOR PERMiT TO PERFORM ELECTRICAL WORK
AN work to be pc-iormcd In accordance with the Macsachuscrs E!cctrical Codc. S27 CMF 12:0�i 1
(1 LZtLS1E•i 1'.I: IN DIK OR rzrE ALL DTT0 .A•rl0it') Date �� ! l�
City or Tow-,I ofmnr: -ky To t:�c I.ispcctoc o` Wi:cs:
Illc undcrsiCrcd :.pplics for Ja.pert It to Rerfo:a rc C1Cctr! z1�-orrk dJ-c•�:c�r-'bcd bolo:+.
Location (51 CCL G ttuabCr) �" l� ffb On'kA— t�-✓*�—� CIRCUIT /EI"51415
C-ncr or Tcnant UE4
Is this per-,ait in :onjuaction with a building percit: ics ❑ No
(Check Appropriate Box)
tsrposc of Euild_nE Utility Authorization 110.
ai:tins �crvicc Amps / Volts Overhead ❑ UndE;d❑ No. of F.ctcrs
1tc� Service Anp: / Volts Overhead ElL'adgrd❑ 110. of Fktcrs
dumber of Fccdc: and Ampacity
Location and Nature of• '2roposcd -lcctrical Work LOW VOLTAGE ALARM SYSTEM
No. of LL;,htinl; Cutlet: I No. of No: Tubs INo. of Transforscrs Total
KYA
No. of LightinL Fixtures Swimming Pool Above 11 In- ❑ 1VVA
1
prnd. lJ rrnd. C-cncrators
No. of Receptacle Outlets No. of 011 Burners Na. o! Enerscney Lishting
f>:rtte � Units
No. of Switch L%Zlcts No. of Cas Burncrs :IRE ALAR.`:5 No. of Zonss
Ne. of Rangcs No. of .lir Cond. Tota1 iio. of Detection and
tons Initiating Devices
No. of Disposal No, of alicat total Toza1 f No. o= 5ourdins Dcviccs
No. of Dishwashcrs Spacc/Arca licatinE J �34 No. of Self Contained
Detection/Sounding Devices
No. of Drycrs Heating Dcviccs , :hinieipal ❑Other
nncction
tlo of No. of Low Voltage 1111' lar f= Fire
No. of Water Hcatcrs 1L! ' a
5i �: IIalt,:ts 1--1Car. Access = CCTV
No. hydro NaAsa c Tubs 110. of 1Sotors Total lip
OMER.
SAY ? i 1995
INSURANCE COVERAGE: Pursuant to the requirements of Yassachusects General Laws
I have a current Liability Insurance Policy including Completed Operations Coverase or its substantial
equivalent. l S Z NO U I have submiLted valid proof of sa.:c to tt•,is office. YES❑ NO
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
ItiSURAtiCE X❑ i bND ❑ OTHER ❑ (Please SpccL.r) ROYAL INSURANCE COMPANY 10/8/96
1�. k:"--piratioa Date)
Estirated Value of Electrical Work 5 r ,
Work to Start Inspection Date Requested: Parish Final
Signcd under the pcnaltic: of perjury:
FIRM tiA.k>E Security Systems Inc d/b/a Sentry Prc)t2rt I- S�!St Prh No-_i
Licensee JAMES W LEES SiZnatur: LIC. 1110Q000801-PUBLIC
Bus'. ETY
Address 110 FLORENCE STREET, MATLDRN s. T . . 617 X88 moo
Alt. Tcl. No.
OWNER'S I145SURA1,CE WAIVEY,: I am aware that the LLcerlsec dor!: not hnve the insurance coy ram or sub-
stantial equivale,-,t as required by tiassaehusctts Ceneral Law:, and that tay •ignature on this peanit
application waives this rcqulrcmcnt. Cwncr Agcnt (Plc:.sc ci:cck one)
TO2 S 3 Date..I?
f pORT1 TOWN OF NORTH ANDOVER
d 3ro�„Eo tioL CLAEC-M1U4L
o i PERMIT FOR QM INSTALLATION
• 09 f
t
�9SSACHUSEt h
This certifies that . . .,�e�.
has permission for W iinst`a_llation . . 14
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s7T
in the buildings of . . 0
. . . . . . . . . . . . . . . . . . . . . . . . . . . . .
at ./. . 9,'(. . . S. . . .�. ....Jfh . . rth Andover, S.
Fee.3.a 0c). Lic. No.. J.l(7 . . . . . �. . ? .
IMINSPECTOR
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer GOLD:File