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Home My WebLink AboutMiscellaneous - 167 HAY MEADOW ROAD 4/30/2018 1 HAY MEADOW ROAD �j 210//104.6-0091-0000.0 � /% Date. N° 4, 6 TOWN OF NORTH ANDOVER ° p PERMIT FOR PLUMBING ,SSACMUS� This certifies that . . . ell,11,4. . . . . . .,� • has permission to perform . . . t-t f//c.`" • • . •`.`.• .. . • • plumbing in the/buildings of . . . . . . . . . . . . . . . . . at. .� . .�. . ,y' .v. • r''/mac North Andover, Mass. r u / � t Fees). . . . . .Lic. No—A). . . . . y , :. . . . . . . PLUMBING INSP TOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS I Z _ ?GOO me �A Date Building Location f Owners Na "Q 6C C Permit# Amount Type of Occupancy New Renovation Replacement Plans Submitted Yes M No El FIXTURES T w x a a x d W d z �" H a w Q w C4 w d Cn Cn A x aa w E~ 5till-arym MH-OCIR y r0 FIOIIt Z Z z 3M Iffm 41H FLQR 5TH HjaR 6M ROM 7TH FLOM SIH Hit (Print or type) ` Check one: Certificate Installing Company Name 0, F1 Corp. Address b 0r e S i• VFimi/co. er. Business Telephone Name of Licensed Plumber. Insurance Coverage: Indicate the tvne of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnity ❑ Bond ❑ Insurance Waiver. I,the undersigned,have been made aware that the licensee of this application does not have any one of the above three insurance rgnature Owner Agent I hereby certify that all of the details and informatio submitted(or entered)in above application are true and accurate to the best of my knowledge and that all plumbing wor and installa ions p ormed r Permit Issued for this application will be in compliance with all pertinent provisions of the assac setts State lu i g d Chapter 142 of the General Laws. By: Signature ot Licenfeder Type of Plum icense Title 16301 City/Town icense Num5ery Master Journeyman El APPROVED(OFFICE USE ONLY , � " 6 9 3 Date.///("/. ..�....... N �aORTM TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ,SSACNUS� This certifies that ............ ..� ..x....... .....E... C. .�. ...5.C ............. D has permission to perform ........ 1. r. s..�1 ..... Ply'' .. ring in the building of....77.-:.c?...��`...i..................................................... at........../. 7...... V�_,<_I ..... Xorth Andovverr S. tee../ .�..:........ Lic.No ...... ..................., .�, .y,,......� . t ELECTRICAL f� INSPECTOR Check # ly ✓ WHITE: Applicant CANARY: Building Dept. PINK:Treasurer Official Use Only Permit No. �f�(✓C�Z1?2G'�l2ZU�,4..C'7f d�nI�S.S�C�ZtS�7'IS ae�antegt Sam Occupancy&Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 T APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK. All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) Date OG7'31 Z To the Inspector of ires: Town of North Andover The undersigned applies for a permit to pe orm the electrical work described below. Location(Street&Number Wr Owner or Tenant us b-e Owner's Address Is this permit in conjunction with a building permitY No ❑ c r/`-)pper� (Check Appropriate Box) Purpose of Building `��Vic, AlYI ��' Utility Authorization No. Existing Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters New Service Amps Voits Overhead ❑ Undgrnd ❑ No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work Total No.of Lighting Outlets No.of Hot fuse ETBaftery f Transformers KVA Above ❑ In ❑ No.of Lighting Fixtures Swimming Pool grnd ❑ grnd ❑ rators KVA Emergency Lighting No.of Receptacles Outlets /-2- No.of Oil Burners Units No.of Switch Outlets t(J No of Gas Burners FIRE ALARMS No.of Zone Total No.of Detection and No.of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No.of Di osal No. Pumps .Tons KW No.of Sounding' vices No./of Self Contained . N of Dishwashers Space/Area Heatin KW Detection/Sounding Devices ❑ Municipal ❑ Other No.of Dryers Heating Devices KW Local Connection No.of No.of Low Voltage hb.of Water Heaters KW Si nsBailases Win No.Hydro Massage Tud))s No.of Motors Total HP OTHER: /V ( T INSURANCE COVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws I have a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = have submitted valid proof of same to the Office YES= NO = If yp chec d S pl se indicate the type of c er a by checking the appropriate box. INSURANCE = BOND = OTHER = (Please Specify) � /� T - Estimated Value of Electrical Work$ (Expira i n e) Work to Start Inspection Date Resquested Rough final Signed under the Penalties of FIRM NAME 1 ' LIC.NO. 3 Licensee Q V U 64 Signature LIC.NO. Bus.Tel No. Address Alt Tel.No. OWNER'S INSU CE WAIVER: 1-5m a e that the Licenses does not h ve the insurance coverage or its substantial 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 OwnerorAgent) Telephone No. PERMITTEE $ �� Location No. 5P j Date /0- MaRTM TOWN OF NORTH ANDOVER 3? • • OL F D ` Certificate of Occupancy $ s i i s'CMUS Building/Frame Permit Fee $ S a Foundation Permit Fee $ Other Permit Fee $ TOTAL $ Check # 1 n -' / B`Ui ding spector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAIR,RENOVATE, OR DEMOLISH A ONE OR TWO FAMILY DWELLING egg BUILDING PERMIT NUMBER. DATE ISSUED: // ic SIGNATURE: 1AR A( Building Commissioner/I for of Buildings Date Z SECTION 1-SITE INFORMATION O 1.1 Property Address: 1.2 Assessors Map and Parcel Number: ►A G A, Map Number Parcel Number V 11..3 Zoning Information: 1.4 Property Dimensions: Zoning District Proposed Use Lot Areas Frontage tt 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard Required Provide Required Provided Required Provided v 1.7 Water Supply M.G.L.C.40. 54) 1.5. Flood Zone Information: - 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT M 2.1 Owner of Record p� I f wlo`I'6'( � Sv 5^OQ Ts'�B L (b / E Yit/►'1�$'nr��ti 'V Name(Print) Address for Service: V Signature Telephone ! 97 Z/ 2.2 Owner of Record: Name Print Address for Service: O Z M Signature Telephone 90 SECTION 3-CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed struction Supervisor: ��j�G O 3 at,-W�U�t� �� ` License Number mn Address Y' ` � IzS/ ic Expiratitin Date Signature Telephone r 3.2 Registered Home Improvement Contractor Not Applicable ❑ v —P6UL- �TC6a-rb l Z F S7 � � Company Name m 3�3I 1M�T��M070y- Registration Number r Address ''// r Elrpiratio D� r — ^Z Si nature Telephone �+' SECTION 4-WORKERS COMPENSATION(M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes........ No.......0 SECTION 5 Description of Proposed Work check all a ticable New Construction ❑ Existing Building ❑ Repair(s) -B.. Alterations(s). ❑ Addition ❑ Accessory Bldg. ❑ Demolition "5, Other ❑ Specify Brief Description of Proposed Work: -C 0 Til bk-r- k a-7?a ts"hT SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be OFCIAhUSE f?NI:Y Completed by permit applicant 1. Building (a) Building Permit Fee Multiplier 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(e)X (b) 4 Mechanical HVAC 5 Fire Protection ��- 6 Total 1+2+3+4+5 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT as 0`(r/Authorized Agent of s ject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, as Owner/Authorized Agent of subject property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief Print Name k Signature of Owner/A ent Date NO.OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TRVIBERS 1 2Nr) 3 SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE ' I ,may,,,,,.._„_... .- ✓/ze TD0�I77�IltOOtl!/CCLGUL o�✓l�ladJCLC/tudell`.d BOARD OF BUILDING REGULATIONS , License: CONSTRUCTION SUPERVISOR Number CS 065046 Birthdate: 06/25/1968 t t Expires:06%25/2002 Tr.no: 25615 I Restricted To: -00 j PAUL T GOAD ' I 381 MAMMOTH RDS PELHAM, NH 03076 Administrator ''4= s �"r.j :''✓�[B 5-1pOnN)tanlG�EaU/t / ��Qb t :H0MEiIMPROVEMENT,C0NTRACT0R�; r _ �a� �'' �:�Registiration�123826��e �4 "k. ,Type, �INDIVIUUAL '°rte..+ ' iraE Ex wion . p PaulT;.Goad r. + 381 Mammoth Rd}Apt 2A °u 'ADMINISjRATOR^ '�•.,�v :k •- _:3 -- f I 1 �' `(3 N ►2 C-neo Z' U` �jvno � qni� S�sa►� -TsAbEL rl7 �6 � ��Y►m��Z�ow R- AI Commercial Premium Finance Agreement 40 BROAD STREET,BOSTON,MA 02109 TEL.NOS.(617)542-8402 (800)288-7099 Page 1 of 2 Agent(Name and Address) 20-20-62429-0 Insured(Name and Address as shown on the policy) FRED C CHURCH INC Attn:KAREN CRUZ,ACCOUNTS RECEIVABLE Paul T.Goad 1229 LAKEVIEW AVENUE 381 Mammoth Road DRACUT,MA 01826 Pelham,NH 03076 (978)957-1234 k've4 (603)635-8227 A)Total Premiums B)Down Payment C)Amount Financed D)Finance Charge E)Total Payments 800 240.00 561.00 .78 63 624.78 1.0 F)Annual Percentage Rate No.of Payments Amount of Payments First Installment Du Installment Due Dates 26.500% 9(Monthly) 11 69.42 10/24/2000 24th SCHEDULE OF POLICIES Policy Prefix and Effective Date of Name of Insurance Company and Name and Address of Type of Months Premium S Numbers _Policy/Inst. General or Policy Issuing Agent or Intermediary Coverage Covered 1251740 09/24/2000 GRANITE STATE INSURANCE WC 12*A 801.00 �0M�` S P (1)DEFINITIONS: The above named insured("the insured")is the debtor.AFCO Credit Corporation(AFCO")is the lender to whom the debt is owed."Insurance company"or"company","insurance policy"or"policy"and"premium"refer to those items listed under the"Schedule of Policies". Singular words mean plural and vice-versa as may be required in order to give the agreement meaning. For New York insureds, services for which any charge pursuant to Insurance Law, Section 2119, is imposed, are in connection with obtaining and servicing the policies listed herein. NOTICE: 1. Do not sign this agreement before you read it or if it contains any blank space. 2.You are entitled to a completely filled in copy of this agreement. 3. Under the law,you have the right to pay off in advance the full amount due and under certain conditions to obtain a partial refund of the service charge. INSURED AGREES TO THE TERMS SET FORTH ABOVE AND ON THE LAST PAGE OF THIS AGREEMENT X INSURED'S R M'E SIGNATURE OF INSURED OR AUTHORIZED REPRESENTATIVE TITLE DATE 09242000NHxxhbibxxxxibdbxxx AGENT OR BROKER REPRESENTATIONS The undersigned warrants and agrees: 1.The policies are in full force and effect and the information in the Schedule of Policies and the premiums are correct. 2.The insured has authorized this transaction and recognizes the security interest assigned herein and has received a copy of thisagreement. 3.To hold in trust for AFCO any payments made or credited to the insured through or to the undersigned,directly or indirectly, actually or constructively by the insurance companies or AFCO and to pay the monies as well as any unearned commissions to AFCO upon demand to satisfy the outstanding indebtedness of the insured. Any lien the undersigned has or may acquire in the return premiums arising out of the listed insurance policies is subordinated to AFCO's lien or security interest therein.4.The policies comply with AFCO's eligibility requirements. 5. No audit or reporting form policies, policies subject to retrospective rating or minimum earned premium are included.The deposit or provisional premiums are not less than anticipated premiums to be earned for the full term of the policies.6. The policies can be cancelled by the insured and the unearned premiums will be computed on the standard short-rate or pro-rata table. 7. The undersigned represents that a proceeding in bankruptcy, receivership, or insolvency has not been instituted b or against the named insured. Y Y IF THERE ARE ANY EXCEPTIONS TO THE ABOVE STATEMENTS PLEASE LIST BELOW: A: Days to CX>10 ": Subject to Audit THE UNDERSIGNED FURTHER WARRANTS THAT IT HAS RECEIVED THE DOWN PAYMENT AND ANY OTHER SUMS DUE AS REQUIRED BY THE AGREEMENT AND IS HOLDING SAME OR THEY ARE ATTACHED TO THIS AGREEMENT�` Fred C. Church. Inc. X yy_ 1 CJl4 A(uyun 1?Pteivcbk )wx AGENT OR BROKER SIGNATURE OF AGENT R BROKER TITLE DATE CPFA-1(1/98-win) c.1998 Afco Credit Corporation 7L7Z2CTB771LRRAFC0081700091400010100 NORTH 0" . 0 4 over 0 No.uryd * - AkOfa7•OA E o �` dover, Mass., COCHICHEwICK A04ATEO S BOARD OF HEALTH PERMIT T Food/Kitchen Septic System BUILDING INSPECTOR THIS CERTIFIES THAT...... ....I.. .. .... V ......... ble ..................... Foundation has permission to erect... .: ......... building on.1 .....wA�{III�trAoR. .w...... C� Rough ........ ... to be occupied as a IL � ; %4 �`� Chimney .............. ................................... ........ ............ .......... ............ .......................................................... provided that the person accepting this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relatin to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. M ,104 � PLUMBING INSPECTOR VIOLATION of the Zoningor Building f Rou Bu ding Regulations Voids this Permit. � PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTIOELECTRICAL INSPECTOR Rough ........ Service ... .�4T . . ...... ... .. ...... BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Display in a Conspicuous Place on the Premises — Do Not Remove RoughFina, No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street NO. SEE REVERSE SIDE smoke Det. Date.................................. NORTI� TOWN OF NORTH ANDOVER p ' PERMIT FOR WIRING _ f �SgACNuSE� This certifies that ............................................................................................. has permission to perform .................. ............................................................. wiring in the building of at............................................................................... .North Andover,Mass. Fee., .................. Lic.No. ............. ................:.:........:.......:............:.............. ELECTRICAL INSPECTOR' Check # Department of Fire Services Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9/05] (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL NF ION) Date: <ry tie 2� City or Town of: �Uv t4, 1� To the Inspector of Wires.- By ires.By this application the undersigned gives notice of In o her . tentio to perform the electrical work described below. Location (Street&Number) 07 c)mew Owner or Tenant � Telephone No. Owner's Address Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Bos) Purpose of Building S M r Utility Authorization No. C1 l g*1 c) Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters :New Service Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters Number of Feeders and Ampacity 4-/_ ( p 1 Location and Nature of Proposed Electrical Work: 14ce soz) IsJ Completion of diefollowing table may be waived by the Inspector of Wires. No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No. of Luminaire Outlets No.of Hot Tubs Generators KVA • No. of Luminaires Swimming Pool Above [i - 11 No. Bato Emergency e gency Lighting No. of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. of Zones z No. of Switches No.of Gas Burners No.of Detection and Initiating Devices No. of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No. of Waste Disposers Heat Pump Number Tons KW No. of Self-Contained .. . ......................................................... Totals: 1 1 1 Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local❑ Municipal ElOther Connection No. of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No. of Water KW No.of No. of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent Y No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability surance including"completed operation"coverage or its substantial equivale t. The undersigned certifies that such cover e is in force, and has exhibited proof of salge to the ermit issuing office ,,/ CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Specify:) <J �w'f�j kA1 l �ZJ3I CY I certify, tinder the pains and pen lties petjur that the information on this application is true and complete. FIRM NAME: ,A 1 C LIC.NO.: Licensee: c7l .Qry� ,b/J Signature LIC.NO.: (lfapplicable,enter "exempt"in th licen a number line.) Bus.Tel.No.G,17k Address: li 11R644n Alt.Tel.No.: *Security System Contractor License required this work;if applica le, enter the license number here: OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. I am the(check one) ❑ owner ❑ owner's agent. Owner/Agent PERMIT Signature Telephone No. FEE: $ �J(� v-----c11A"I. 0t;WCI _V Cla1U11rUM : .pG_7.VV ELECTRICAL PERMIT FEES a) including photovoltaic& Signs: $25.00 each ballast (Effective March 12 2003) generating Equip Per KVA $1.00 Smoke&Heat Detectors& 1Y�TiVIMU1 PERMIT EFS:; b)un-interruptible power systems, Initiating Devices: RESIDTWIAL $2&�OQ per KVA$1.00 Residential: $1.00 each COMMERCIAL $50 00 c)batteries over 100 amp.hours,per Commercial: $60.00 up to 10 NO SE CABLE, ON cell $1.00 devices over 10-$1.00 each OUTSIDE OF BUILDING Heat Devices: $1.00 each Space Heaters: Air Conditioners: $40.00 each Heat Pumps: $40.00 each area heating$1.00 each Alarm Systems Security: (for fire Hydro-Massage Bathtubs/Hot Sub-Panel: $25.00 systems see smoke/heat detectors) Tubs: $20.00 each SwimmingPools: Lighting Fixtures $1.00 each Residential: $40.00 Residential: Commercial:up to 10 Devices Lighting Outlets: $1.00 each Above Ground: $25.00 $60.00 additional devices over 10- Major Appliances: (not listed) Inground: $50.00 $1.00 each $20 each Commercial Pool: $100.00 Carnival Equipment: $50.00 each Motors: (per hp or fractional part Switches: $1.00 each Ceiling Fans: $1.00 each thereof) $2.00 Temporary Service: Commercial New Construction or Oil/Gas Burners: Must have Utility Authorization Number Alterations: Residential $20.00 each Residential$25.00 Commercial$20.00 each Commercial $100.00 $100.00 per 1,000 Sq. Ft. of Construction Space Office Furnishings:per circuit$10 Transformers: Commercial Service Change/ (Relocatable Partitions/Cubicles) a)capacitors,Per KVA $1.00 Repair: Outlets & Fixture: $1.00 each b) ducts,conduit&conductors Must have Utility Authorization Number Ovens Built in/Counter Top Units: (Associated w/Padmount Transformers) $25 $100 (fust 100 amperes or fraction,one $10.00 each c) each manhole$10.00 meter) Panel Change/Circuit Breaker: d) each handhold$5.00 a) each additional 100 amperes Residential: $20.00 e)per KVA$1.00 capacity or fraction. $30.00 Commercial: $25.00 fl primary feeders, $25.00 each(ov';.N b) each additional meter$25.00Phone Jacks: See 600 volts,non-utility owned)Commercial Temporary Service: data/telecommunications g)vaults and equip. $25.00 eachWashers: $15.00 each $100.00 Ranges$15.00 each N'Tust have Utilittiv Authorizalion Number Receptacle Outlets: $1.00 each Waste Disposals: $5.00 each Commercial Repair anal/or Recessed Fixtures: $1.00 each Water Heaters: $30.00 each Maintenance Permit: (Blanket Re-inspection Fee: $25.00 Permit)up to 2 Electricians$150.00 *For Multi-Famili, & per air of Electricians over 2 $50.00 Repair to Service Residential: $20.00 barge Commercial Project Data/Telecommunication: Residential New Construction " Residential: $1.00 per port set. Wiring Inspectorfor (Dwelling): $220.00 Commercial: $30.00 up to 10 pricing: (with service up to 200 amps) r devices over 10-$1.00 each Must hive Utility Authorization Nuinber Paul Kennedy(97$) 623-8306 Dishwashers & Disposals: for services over 200 amps see below (Office Flours 8 am to 1.0 ani) $5.00 Each a) for each 100 amps capacity or Dryers: $15.00 Each fraction add$20.0 0 * Inspecti®rSchedule: Emergency Lighting(Battery Units) b) each additional meter$10.00 $ 1.00 each unit c P each additional panel/sub panel ROUGH Feeders or Sub-feeders: $25.00 1. FINAL each 100 amp capacity of fraction 1 TRENCH (ii applicable) thereof Residential Additions/Alterations: Residential: $5.00 each $220.00 maximum ADDITIONAL $15.00 each Residential Service Change oADDITIONALGas/Oil Burners: Underground Service: INSPECTIONS *$25.00 (if Residential: $20.00 each $40.00 applicable) Must have Utility'Authorization Number Pp ) Commercial$20.00 each a)one meter,up to 100 amp capacity $40.00 (revised 07/05) b) each additional 100 amp capacity or fraction$20.00 & --2'�r - 0 6 ��