HomeMy WebLinkAboutMiscellaneous - 18 CHESTNUT COURT 4/30/2018Date .....
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......lx.�....c.nis?.y.:�.... ...... �✓ �....... roc `. � ....................
has permission to perform ............. Q.......... 6 0 t.h. Al. ............................
wiring in the building of. .......... ./oe...........................................
at .......). u.....C- �'!...... f..'..... �...........# North Andov r, Mass.
Fee....�.�. Lic. No!. .... c�l.�!?........! '. �, . "�................
I '/LECTRICALINSPECTOR
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
TBE C.'ONMONRjF,4LTHUI,'MAS►.'�L71JrJ,SEM OYTice Use onl
0FPUBLIC&4F= Permit No.
BOARD OFFMPREVEMONREGUL 770NS527CM?11-00
Occupancy 1& Fees Checkcd
APPLICATTONFORPRI?,NfIT TOPERPO"jEE=CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 cMR 12:00 � /•
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ('1
Town of North Andover To the Inspector of Wir s:
FORWARD11 -11 Zj
The undersigned applies fora escribed below. NIAP PARCEL
Location (Street & Number) _ �.. ��5' Two— C *.-T,
Vwner or Tenant jy R - 14 Y D F)2�' _
Owner's Address
-SIA /V �
Is this permit. in conjunction with a building permit: Yes = 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
Number of Feeders and Ampacity -
Location'and Nature of Proposed Electrical Work 1AJ.1 O
No. of 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
F1RE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
Tons
No. of Detection and
No. of Disposals
No. of Heat Tot :I Total
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal.
Other —
No, of Dryers
Heating Devices KW
Conncctions
No. otr Water Heaters KW
No. of No. of
Suns
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
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OWNER'S INSURANCE WAIVER; Iarnawmeth�ttt�Lioa>ce does7xittrave their�stttartcecrnaatrea>L5 si�tanti<�legaNa�taste4mrzlbyivt•>ssts C�rxialLaws
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(Please check one) Owner Agent rr r oV
Telephone No. PERMIT FEE S 1
�,tjmature of -)wner or Agent
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