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HomeMy WebLinkAboutMiscellaneous - 148 MAIN STREET 4/30/2018 (53) I a Date....!/p�1.,/... 7 922 P f NCR7M'1 "o0 TOWN OF NORTH ANDOVER PERMIT FOR WIRING ,SSACMUS fe This certifies that ....... has permission to perform .....kk k& m............ t �x rmg in the building of.... �� ..... ..9.l. ...> ......! 1 ... .h!.f..s.s tc[ ....Q.v..N.V\G....P.!.�.�..................................... .North Andover,Mass. I Fee...3.3—LA.) Lic.No. .. .3.. ............................................................... ELECTRICAL INSPECTOR C 1047 45/12/97 14:16 35.00 PRIG WRITE:Applicant CANARY: Building Dept. PINK:Treasurer .) p--;a The Commonwealth of Massachusetts "` `'S` u''r r..r,It %n. Department of Public Sofety IF BOARD OF FIRE PREVENTION REGULATIONS S27 CMR 12fkcupancY S Fee Checked 00 3/90 heave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed In accordance with the Mamachusecu Electrical Code, 527 CMR 12:00 (PLEASE PRINT IN INK AOR TYPE ALL IITFORHATION) Date S- Z —97 City or Town of AA1A90t/E',e To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) 1119' 117,0/NcST'PEET,I�G�S LiNlr #S.- Ot.•ner or Tenant POAI AIA Owner's Address 5.4#n6 (Soo:) '- Pi- 8479 Is this permit in conjunction with a building permit: Yes ❑ No (Check Appropriate Box) Purpose of Building Utility Authorization 110. Existing Service ---- Amps / Volts Overhead ❑ L!nda:d❑ If-,. of :;Ciers _ New Service Amps / Volts Overhead ❑ Undgrd❑ 110, of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Installation Of Alarm System No. of Lighting outlets No. of Hot Tubs ' No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above In- grnd. ❑ grnd. ❑ Generators KVA No. of Receptacle Outlets No. of Oil Burners. = No. of Emergency Lighting ' . Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of .RangesNo. of Air Cond. Total . No. of Detection and tons Initiating Devices �. No. of Disposals No. of pumps TotaTons T0KW1 No. of Sounding Devices ` No. of Dishwashers Space/Area Heating KW No. of Self Contained Detection/Sounding Devices t Munici al No. of Dryers Heating Devices KW Local❑ Connection❑Other No. of No. of Water Heaters KW Signsf Ballasts otow_Wiring Q J No. Hydro Massage Tubs No. of Motors Total HP FIL.H OTHER: MAY INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES❑ NO ❑ I have submitted valid proof of same to this office. YES❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER [J (Please Specify) e e Estimated Value of Electrical Work S %9o2.S Expiration Date Work to Start IV-19-92 Inspection Date Requested: Rough Final Signed under the penalties of perjury: FIRM NAME A.D.T. SECURITY 'SYSTEMS NORTHEAST INC. LIC. No. 1231C Licensee_ DONALD A BROOKS Signat a N0 1231C Address 60 William- Street, Wellesley, V28 s. " l.: No.'413-732-4400 Alt. Tel.'No.617-431-5831 OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub- stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one) Signature of Owner or Telephone No. PERMIT FEE S cis 06 Agent