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MASSACHUSETTS PROPERTY INSURANCE UNDERWRITING ASSOCIATION
Two Center Plaza
Boston, Massachusetts 02108-1904
(617)723-3800 Ma Only (800)392-6108, FAX (800)851-8424
Form of Notice of Casualty Loss to Building
Under Mass. Gen. Laws, Ch. 139, Sec.313
NORTH ANDOVER HEALTH DEPT.
NORTH ANDOVER TOWN HALL
NORTH ANDOVER MA 01845
Re: Insured: TINA BOWE
Property Address: 248 REA STREET, NORTH ANDOVER, MA 01845
Policy Number: 0840849
Type Loss:
Furnace/Boiler
Date of Loss:
04/06/2007
Claim Number:
242039
5/16/2007
RECEIVE®
MAY 2 2 2007
TOWN OF NORTH ANDOVER
HEALTH DEPARTMENT
Claim has been made involving loss, damage or destruction of the above captioned propert, which may either
exceed $1000.00 or cause Massachusetts General Laws, Chapter 143, section 6 to be applicable. If any
notice under Massachusetts General Laws, Chapter 139, Section 3B 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.
MPIUA Claims Division
CMA00021
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66 PARK STREET 0 ANDOVER, MASSACHUSETTS 01810 TEL (617) 475-3533,373-5721
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SUBSURFACE DISPOSAL. SYSTEMLOCATEDIN
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Applicant
NAME
Town of North Andover, Massachusetts Form No. 3
BOARD OF HEALTH
19
DISPOSAL WORKS CONSTRUCTION PERMIT
PHONE
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Permission is hereby granted to Construct ( ) or Repair (,.)/an Individual Soil Absorption
Sewage Disposal System as shown on the Design Approval S.S. No.
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CHAIRMAN, BOARD OF HEALTH
D.W.C. No.
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DATE 16194 Sheet of
BOARD OF HEALTH
TOWN OF NORTH ANDOVER
SUBSURFACE DISPOSAL DESIGN REVIEW
FEE PERMIT # DATE RECEIVED a/
APPLICANT n- aAaen (/?//22,y
ADDRESS
ASSESSOR'S MAP
PARCEL #
LOT # S
ENGINEER
STREET L-9--679-79- Z577�G/�,,�//YJ/�G,�'
ADDRESS'-77��e/el -6T, /9A1b V&7
PLAN DATE 1I UC . A / 1994- REVISION DATE
CONDITIONS OF APPROVAL:
APPROVED ✓
DISAPPROVED
soue
SEWER
SERVICE
:,830 Livingston Street
;.; Tewksbury, Massachusetts 01876
Main Office: (508) 851-8839
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