HomeMy WebLinkAboutMiscellaneous - 15 FOREST STREET 4/30/2018 (2) 15 FOREST STREET
210/106.A-0068-0000.0
N2 * % Date....1113 7.7.
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NORTq
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TOWN TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
♦ � `yam i
ACHUS
This certifies that ........... .............................
has permission to perform ...... `1,0.......................
wiring in the building of.... Q S {'.... ...............................
at..../ ...... �!:t... :....�j North Ando Mads
Fee. ��:.
. ..... Lic.No.A1c .1.-J�/...... .... 1�/ .
/ELECTRICAL INSP CCOR
0A 3
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
THECOLLI 0AW1F,9LTH0F1LJ4,1N4G71US= Office Use only
.DLPARTA1FIVT0FPUIMLICS Permit No. T75
0FFREPRL4V=0NREGU 4770AS.i27Gfl?12.00
Occupancy Fees Checked
,4ppLlCAT70NFOR PFR1V11T TO P,ERFORMLLF=CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL.CODE,527 C,\IR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date t k
Town of North Andover To the Inspector of Wires:
The undersigned applies for a pernut to perform the electrical work described below. lyIAP _ PARCEL
Location(Street&Number) �, .. . 7- 7
Owner or Tenant r
Owner's Address
Is this permitin conjunction with a-building permit: Yes No [Z] (Check Appropriate Box)
Purpose of Building L4 Utility Authorization No.
Existing Service Amps / Volts Overhead 71 Underground No. of Meters
New Service Amps / Volts Overhead Underground No. of Meters
Number of Feeders and Ampaciry - -
Location and Nature of Proposed Electrical Work h/ R
No.bf Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
ground 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.oers Heating Devices KW Local Municipal. Other
F7 Conncctions
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydro Massage Tubs No.of Motors % Total HP / p
OTHER
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Cocaaa �alils"±srt r7 NO
IbacestfinitedNebdgafofsametodrOffm YES t i i NO F_� Y)Kuhwcbec�YES,*emdcaEdrtypof=tIaFbydiedm�dr
]NSLIRANCE BOND F-1 MIER
F Val dElotial Wak$
Wake o&a t _ h nDawReqi2sted Ralph Final
SigDodtuidaTie cfF*y. �^j
FIF:MNAME J
BummTeLNa
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OWL'S ITISURANCE WANII�;Iamawatednttl�Liar�e doesr,orl'ctv+e dteu�stuarxea3caageaiLs st �lecpi�art�rbyMassxht�ils Laws
and datmysign ondmpmnia nvaie,ftT4mun u. (J
(Please check one) Owner Agent v
Telephone No. PERMIT FEE$'
Sianaiure of Owner or Agcm