HomeMy WebLinkAboutMiscellaneous - 149 COTUIT STREET 4/30/2018 (2) 149 COTUIT STREET IMMMMOM4
210/023.0-0049-0000.0
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CWun�. � Action
-Department
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Board of Appeals - Board of Heal h Planniin� Board ;
9. Conser�atiion Commission - Building Departmen
Form ofo
N tice of Casualty Loss to Building
Under MASS. GEN. LAWS, Ch. 139, Sec. 3B
p
di
TO: Building Commissioner or Board of Health or
Inspector of Buildings Board of Selectmen
Town of N. Andover ) ( Town of N. Andover
addresses
N. Andover, MA 01845) ( N. Andover, MA 01845
1
RE: Insured: John T. Mabon
Property address: 149 Cotuit Street
N. Andover, MA
Policy No. HP 1122416
Loss of 1/15/91 19
File or Claim No. WAP12134 Water
Claim has been made involving loss, damage or destruction of the above captioned
property, which may either exceed $1,000.00 or cause MASS. GEN. LAWS, CHAPTER 143,
SECTION 6, to be applicable. If any notice under MASS. GEN. LAWS, CH. 139, SEC. 3B
is appropriate please direct it to the attention of the writer and include a reference to the
captioned insured, location, policy number, date of loss and claim or file number.
Vern Laws
Title:
On this date, I caused copies of this notice to be sent to the persons named above
at the addresses indicated above by first class mail.
PATRICK J. DONOVAN ASSOCIATES, INC. S` 1/18/91
Signature and date
P.O. BOX 110
WAKEFIELD, MA 01880