HomeMy WebLinkAboutMiscellaneous - 195 SUTTON HILL ROAD 4/30/2018 (3) 19� SuTro N �'f,�.� R oa�
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2 517 Date........ is �o.
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�? ' TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
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This certifies that ..�.?..R .!..'.'!. ...............................
...............................
has permission to perform .. { 'Z
ydring in the building of........
at
r .... � ......
...... 1 .
. .. ..... North Andover,Mass-
. . y . /Fee..... �60... Lic.No... - my. ... .
g ELECTRICAL INSPECTOR
Check It `^
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
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DLP`4B77I77 0FPUBL1C&4FM Permit No.
BOARD OFFdRE PREHM70NRWUL4770AS 5270fR 12.00
Occupancy&Fees Checked
49A
APPUCATION FOR PMW TO PERFORM ELE=CAL WO����.
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) —Af '-/�y
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work rdescribed below.
Location(Street&Number) f S S V t
Owner or Tenant
Owner's Address
Is this permit in conjunction with a building permit: Yes 7—l"No ® (Check Appropriate Box)
Purpose of Building S( Utility Authorization No. �®
Existing Service_ Amps dolts Overhead ✓"Underground ® No.of Meters
New Service � Amps / Volts Overhead ® Underground No.of Meters -
�s
Number of Feeders and Ampacity .
1,�ocation and Nature of Proposed Electrical Work u
.�No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
Fo.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
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local ® Municipal ® Other
Connections
Water Heaters KW No.of No.of
Signs Bailasis
No.Jiydro Massage Tubs No.of Motors Total HP
OTHER
hst>larreCo�erage Ptrtst>a bthetagtmat>a�s�C3ataaVLam
lha,,eauirertLialxlityh>szm=PobcymdtdingCm#A#A CovaaWcrAsskstartlialegiaiat YES ® NO
Ihawaftniitadvalidptoofofmme1DtheOffceYES E:] IfjcuhawchakcdYES,plemertrcEktheNxofwwWbydrckingthe
ET'--BOND ftweSpxify) P, a,-=L
ExpirationDt�
Wtxk to Slam -(dU Estes Valueical W $
D* Final
Signed
u nck" pgjtay:
FIRM NAME Wit^ f lioazseNaCt' S< v'
e liarseNo `
B>si xs;Tel.No.
Address.is
Ak Tel Na
OWNER'S NRJRANCE WAIVER,lam ihatfcLx=do* mleWvakitasmgmedbyMbadatsegsCefralLaws
and fmysig itnonthepmnkmonwaivesthis mwmernat
(Please check one) Owner Agent ®
Telephone No. PERMIT FEE � �