HomeMy WebLinkAboutMiscellaneous - 173 CAMPBELL ROAD 4/30/2018 (2)G
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gordon Boyd & Company, %qnG
Multiple Line Adjusters & Surveyors Established 1926
TELEX NO. 466111
CABLE:BOYDCO
ADDRESS REPLY TO:
GORDON BOYD & CO. INC.
11 LAWRENCE ST.
Form of Notice of Casualty Loss to Buildin�.AWRENM MASS. 01840
Under Mass. Gen. Laws, Ch. 139, Sec. 3B
To: Building Commissioner or
Inspector of Buildings
Re: Insured:
Property address:
Board of Health ort,-' ?7
Board of Selectmen L/
(Jk(o AN bo ilee Mf9SS
addresses (T
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Policy No. 0J d 6- /I'D aZ
Loss of f 7me AtaA- 19_
File or Claim No. � /, �3 -
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. 313 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.
Title: u
On this date, I caused copies of this notice to sent to the persons named above at the addresses
indicated above by first class mail.
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Signature n d•te
M,
CLAIMS 59RVICt OF
NLW WOLAND ,INC.
MASSACHUSETTS
CONNECTICUT
NEW HAMPSHIRE
VERMONT
MAINE
Boston Lawrence
Bridgeport
Claremont
Brattleboro
Augusta
Barnstable Pittsfield
New London
Gorham
Burlington
Lewiston
Brockton Salem
No. Haven
Laconia
Montpelier
Skowhegan
Fall River Springfield
Stamford
Manchester
White River Jct.
S. Portland
Fitchburg Worcester
Waterbury
Portsmouth.
W. Hartford
M� J�
RHODE ISLAND
O
Pawtucket
At
'1ASSOCIA70H
NEW YORK
ENTUtica
CE
Rs�
Z
1731
APPLICATION FOR SEWER SERVICE CONNECTION
j 2�vf
North Andover, Mass. fig—',
Application by the undersigned is hereby made to connect with the town sewer main in 4112 Street,
subject to the rules and regulations of the Division of Public Works.
The premises are known as No.
or subdivision lot no.
Owner
b
Contractor
Exe, 7q
sc-C
Address
Add ress1___) i
�_ icant's Sigf ature1. q 7 91, 6 F 2 - 0
PERMIT TO CONNECT WITH SEWER MAIN
The Division of Public Works hereby grants permission to
Street
to make a connection with the sewer main at Street
subject to the rules and regulations of the Division of Public Works..
Inspected by
Date
By
See back for rules and regulations
Division of Public Works