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HomeMy WebLinkAboutMiscellaneous - 19 BEAVER BROOK ROAD 4/30/2018 (18) 7 Of No DT 901�1N 3.T o� o. =+ - ' s Town of North Andover ° HEALTH DEPARTMENT SSACMUS! CHECK#: DATE: LOCATION: /? /3Qoa.ye-l" /5r'vok- H/O NAME: OS CONTRACTOR NAME: CJcl -r�.eSO Type of Permit or License: (Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector $ ❑ Title 5 Report L ' $ 4J A Other:(Indicate) $ Hea gent Initials White-Applicant Yellow-Health Pink-Treasurer