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Date .... ........
TOWN OF NORTH ANDOVER
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A 0 PERMIT FOR WIRING
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Thiscertifies that . ........... ..........................................................
has permission to perform .... . .......... .............................................
I. ... .. ..........
A wiring in the building of ................................... ...........................................
at ..... ............................. . North Andover, Mass.
........ .. . .......
Fee ...... Lic. No . ............. .............................................
ELEcrRICAL MpEcmlk
Check # vA -/J:j
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
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130ARD OFFR?EPREV=ONREGUA770AS527(3&12-W Permit No. -,22 Z16ro
Occupancy & Fees Checked
TIONFORPERA�flTTOPEIUORMELE=(�'AL WORK
ALL WORK TO BE PERFORNIED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 cmR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. PARCEL
Location (Street & Number) 2.
Owner or Tenant r, -,c CELJ
Owner's Address
Is this penruit in conjunction with a building pen -rut: Yes = No [Er (Check Appropriate Box)
Purpose of Building
Utility Authorization No.
Existing Service Z-0 0 Amps (20/!A�301ts 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 10A EA—J I CJE� -L WL7;)
No..of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
No. ofLighting Fixtures
Swimming Pool Above
Below
M
Gener-ators
KVA
ground
E3
around
No. of Receptacle Outlets
No. ofOil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Bumcr3
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Total
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No. of Detection and
No. ofDisposals
No. of Heat Total Total
Purnps
Tons
KW
Initiating Dcvices
No. of Sounding Devices
No. of Dishwashers
Space Area Hearing KW
No. of Self Contained
Detection/Sounding Devices
Local Municipal
M
Other
F- ofDryen
Heating Devices KW
Connections
L --j
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. ofMotors
Total HP
OTHER-
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Telephone No. PERMIT FEE
:Signature of Owner or Agent