HomeMy WebLinkAboutMiscellaneous - 1749 SALEM STREET 4/30/2018 (2)N2 4199
Date A .'�
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
�SACHUS�
This certifies that - -�.. .
has permission to perform I/V ................................
plumbing in the buildings o�!////� .... ............. .
at /714?...... North Andover, Mass.
r
FeLic. No.��.-�
PLUMB ;�SPECT*01*11R*
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
cam- 1•,,-1, ,.�
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print) U,-Iz
NORTH ANDOVER, MASSACHUSETTS
t Date �_�� —9q_
Building Location /-7y 1,• r . Owners N Permit # '// 99
Amount zl0
Type of Occupancy
New ❑ Renovation Replacement ❑ Plans Submitted Yes ® No ❑
1VYVTTT1DF C
(Pont or type) Check one: , Certificate
stalling Compan3,i Name rp•
PAddres ❑ Partner.
O
Business Telephone _ 7 R --4Firm/Co.
Name of Licensed Plumber: -n, 0 \A-09- JQX Jia)'='Q N
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑
Liability insurance policy a-- 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
ignaturew er ❑ Agent
I hereby certify that all of the details and information
best of my knowledge and that all plumbing work
compliance with all pertinent provisions of the M
By: igna
Title
City/Town T 41n.,'
APPROVED (OFFICE USE ONLY
ted (or entered) in
performed and A
n
pplication are true and accurate to the
smed.fs this application will be in
ter 142 of the ral Laws.
of Plumbing License �?
umum er Master ( n -16urneyman 11
i
•
i it .........................
., �ssnnnnnn�nnn�nnn�nnnnn�■nn
Mom
(Pont or type) Check one: , Certificate
stalling Compan3,i Name rp•
PAddres ❑ Partner.
O
Business Telephone _ 7 R --4Firm/Co.
Name of Licensed Plumber: -n, 0 \A-09- JQX Jia)'='Q N
Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: ❑
Liability insurance policy a-- 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
ignaturew er ❑ Agent
I hereby certify that all of the details and information
best of my knowledge and that all plumbing work
compliance with all pertinent provisions of the M
By: igna
Title
City/Town T 41n.,'
APPROVED (OFFICE USE ONLY
ted (or entered) in
performed and A
n
pplication are true and accurate to the
smed.fs this application will be in
ter 142 of the ral Laws.
of Plumbing License �?
umum er Master ( n -16urneyman 11
No 2039
n
MAW M—
Date.. ......
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
L-`-�MU5,
This certifies that J ..............................................................................
has permission to perform ..... .................................
wiring in the building of
................................................................................
at.... Z ....................................................................... . North Andover, Mass.
Fee �U ............... Lic. Nod zzlq .............. ..................
ELECTRICAL INSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
office Use,
TBE CONMOMEAILTH OFAMS4 IUM I
nnly
-7
LEPARTjbENT0FPUB0C&4=
Permit No.J
BOARDOFFIREPREV=ONREGUL4770,NS527CIlRI2�
Occupancy & Fees Checked
-P-A fi TIONFORPERA�flTTOPEI?FORMELE=CA-L WORK L CA
A-11 WORK TO BE PERFORMED IN ACCORDANCE WITH.THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASEPRINT IN INK OR TYPE ALL -INFORMATION) Date
Tow11.-ofNorth,Andover:- To Inspector ofWires--
-"The-u'ndersign6aap'pli'es-fiord permit to perform the electrical work described below. PARCEL.
'oca*tion-(St-eet&.iNumber)-.-...,-�-. J�j Z.60p,
--!-L 17141,
Owner or Tenant-
Ownee. s Address,
Is this-.'permitiu conjunction.with a building permit: Yes 0 No (Check Appropriate Box).
Purpose of Building -Utility Authorization No
Existing Service Amps Volts Overhead Underground No. of Meters
New Service Amps Volts Overhead Underground No. of Meters
7
Number of
Feeders -and Ampacity
Location and.Nature of Proposed Electrical Work- -,pjam -0577
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No.- ofUghting Fixtures
Swimming Pool Above-
Below
Generators-Generators-KVA
m
and M
t and
r
No. of Receptacle Outlets
No. of Oil Bumers
No. of Emergency Lighting Battery Units -
No. of Switch Outlets
No. of Gas Burners
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
TOM
No. of Detection and
No of Disposals
-No. of Heat Total Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No: ofDishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
LocalMunicipal.
0
F7
Other
No. of Dryers
Heating Devices KW
Connections,
No. of Water Heaters KW
NO. Of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
O=.-
]Com pt�$>plbeiegt�naisofNlas�a�ltsGerrralLaws
lbawaa=mEmbdlybs'=PbILYmlxf%CcmPi2topa-d�=Czvaawcr�sskstntieqxvaiaI No
&hF�
-jbaw:n&dvandpmdcfsa=1bdr0Txe YES F" :'[� F-1 rwnbaNecb�yE`�p`axm&ca`e tbetyrecfwmF`ydrc"ngtbe
aFpup6&bcx
Z01ZPNCE r7l--BCND p OTFEP, r7
EtmatPdVahrdE1ozbcalWcxk
WakbSuthpmbonD&Reqr� I Rath Final
SigmduxirTePmakies dpaitzY.
wl� voi� C
F
dae�.
All. Tel. NTa
OVN, RS -;adimtCx=alLam
atrltl>rdmysig�uerntl�spear>irwai�sttriste4.mema�. -
(Please check one) OwnerAgent
r7 0 Telephone No. PERMIT FEE $
Z � 'e�
12—
Lim=may — Signmne
Sumanire of Uwner or Aigem