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Date .... �n-2-01
V&ORTPI
TOWN OF NORTH ANDOVER
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PERMIT FOR WIRING
This certifies that .................. �5y� �(
has permission to perform ........... ......
wiring in the building of ........ ��.YxKz?��4c' .....
at ...... ?.6. /–/ -
..... .......... . North Andover, Mass.
01 Fee..V*� -'Va... Lic. No. �7'33 .................. z2z -4. leelr
. ....... . ..... — -
ELEcrRICAL INSPEMR
Check# 019
7125
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Commonwealth of Massachusetts
Department of Fire Services
BOARD OF FIRE PREVENTION REGULATIONS
Official Use Only
Permit No. __�7 -1-3
.1 Z- �)
Occupancy and Fee Checked
I[Rev. 9/051 deave lilank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All),voik to heperfibri-ned in accordance %0th the Massachusetts Elcctric-,Ii Ct�,dc
I __I 0MR 12,00
(PLL4SE 111UNTLV1.?VK OR 77YPE ALL INFORMATION)
Citv or Town of: V -
To the Inspeaor qllVires:
By tills application thc undersigned gives notice ofhis or her intention to perform the electrical work described below.
Location (Street& Number).....- 4?, -7wf e- ? '/,, e�7 2- f 1` 2 9- & 7- ,
Owner or Tenant
Owner's Address
X
Telephont Kf.!"A- 6E�- �
Is this permit in conjunction with a building perdit? Yes F] No �(Check Appropriate Box)
Purpose of Building _!�,e
/97 , -el- -/"� -1 - — Utility Authorization No. 2
1Z 137
Existing Service Amps Volts Overhead Undgrd No. of Meters
New Service Zela Amps 1,Z411 Z5,-GVolts Overhead Undgrd No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
Complotinn of thp 6)11,)iv in � t, A 1— r I— -ill,b.*.. —
No. of Recessed Luminaires
.
No. of Ceil.-Susp. (Paddle) Fans
..... . ..... "y .... .... P��-'
No. of Total
Transformers KVA
No. of Luminaire Outlets
No. of Hot Tubs
Generators KVA
No. of Luminaires
Swimming Pool Above El Ill-
grnd. grind.
N.
'N --61 Emergency Eighting
Ratterl Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALA RMS INo.
of Zones
No. of Switches
No. of Gas Burners
-
No. of Det cdon- a --d -------
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
23 - -- ---
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
umber
No. of Self -Contained
Detection/A eirting Devices
No. of Dishwashers
Space/Area Heating KW
nicipal r --J
Local rL--Jl Counnection Other
No. of Dryers
-N-(T-oTWa—ter
Heaters KW
"eating Appliances KW
No. of No. of
Signs Ballasts
-Security Systems:
No. of Devices or Equivalent
Data Wiring:
No. of Devices or Equivalent
No. H dromassage Bathtubs
y
No. of Motors Total HP
Felecommunications Wi ing:
No. of Devices or Eclujy,�lent
OTHER:
Attach adilitional delail # desired. or as required h.v ihe h7speclor o.1 117res.
Estiniated Value of T-,'Iectrical Work: (When required by municipal policy.)
Work to Start: / - Z - �;, 7 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
INSURANCE COVERAGE: I - inless waived by the owner, no pert -nit ror the performance of electrical work may issue unless
the licensee provides proof ofliabilit-yinsurance including "completed operation- covera- or its substantial equivalent. 'File
c e
undersigned certifies that such coveracy, . s in force, and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE��D [I OTHER 0 (Specity:)
.y. untler thel),ahys audpeiiallieli t�f perjuiy, that the hiforitiatioit on Iltis apptication iv frue (111d coltiplete.
FIRM NAME: LIC. NO.: 15
z9- -F,9
Licens Signat J 5p 5p
eel UX
(�/"apph,,-hle, ent exempt " in the license nuinber line- �41C. NO.:/
us- el- No.: 4,f-=
Alt. Tel. No.:
Address: Z
*Security System Contractor License required for this work; if applicable,--lin'ter the license number here:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not hm�e the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one)E] owner 0 owner's ag
Owner/Agent gent.
Signature Telephone No. $
GENERATOR
CUSTOMER
GENERATOR CIRCUIT BREAKER OUTPUT CONNECTIONS
(REFER NOTES 5 & 6) CIRCUIT BREAKER (REFER NOTES 2 & 6)
CUSTOMER SUPPLIED
SUB -PANEL
(REFER NOTE 6)
CUSTOMER
CONNECTIONS
(REFER NOTES 2 & 6)
LOAD L3 L7 LOAD
(LINE 1) (LINE 2)
(REFER NOTE 6) -(REFER NOTE 6)
ALTERNATE (GENERATOR) SOURCE ALTERNATE (GENERATOR) SOURCE
(LINE 1) L2 L6 (LINE 2)
(REFER NOTES 5 & 6) -(REFER NOTES 5 & 6)
TRANSFER S��
TS Ts_ TRANSFER
7 SWITCH
HARNESS
/,:.TOmER
NEUTRAL
CONNECTIONS
(REFER NOTE 2)
Ll
PREFERRED (UTILITY) SOURCE
(LINE 1)
(REFER NOTES 5 & 6)
L5
CUSTOMER
CONNECTIONS
(REFER NOTES 2 & 6)
UTILITY CIRCUIT BREAKER
(BRANCH FEED FROM MAIN - — — — — — - c—
PANELBOARD)
(REFER NOTES 5 & 6)
PANELBOARD
SWITCH I
RATING
(AM
p PREFERRED (UTILITY) SOURCE 100-200 1
( LINE 2)
I
REFER NOTES 5 & 6)
(I
CATALOG NUMBER
TS ASCO POLES AMPS VOLT CONT
FRAMEISER I ESI I I CODEJ CODE
D 1 165 1 A 1 2 1 ;;�� F I 3X
1. THE TRANSFER Sv
M CM=Cn RK K. 2
TRANSFER SWITCH C
2. THE SYMBOL 0 IN
ELECTRICIAN.
SOLENOID
3. THIS IS A WIRING
— - — — - — — — — — — — — — —
A MANUAL IS SUPPL
COIL
MAAUFACTURER'S IN
TRANSFER SWITCH.
4. THE TRANSFER SY
CX-BLK.P-5
(UL) STANDARD FOR
t
Ts_�_'s_71
f
IT IS INTENDED FOR
THE NATIONAL ELECI
r ?
5 THE TRANSFER SV
P*REFERRED AND ALI
o o o
12
1
BASED ON THE REOL
r,
21
AMPERE AND SHORT
/,.rTOMER
-7 6
6. POWER CONNECTI
8 69 7
P C
GROUND
CONNECTIONS
(REFER NOTE 2)
TS -1.75-7
SIZES
SCR
TS73/T--
MAI
Ll
PREFERRED (UTILITY) SOURCE
(LINE 1)
(REFER NOTES 5 & 6)
L5
CUSTOMER
CONNECTIONS
(REFER NOTES 2 & 6)
UTILITY CIRCUIT BREAKER
(BRANCH FEED FROM MAIN - — — — — — - c—
PANELBOARD)
(REFER NOTES 5 & 6)
PANELBOARD
SWITCH I
RATING
(AM
p PREFERRED (UTILITY) SOURCE 100-200 1
( LINE 2)
I
REFER NOTES 5 & 6)
(I
CATALOG NUMBER
TS ASCO POLES AMPS VOLT CONT
FRAMEISER I ESI I I CODEJ CODE
D 1 165 1 A 1 2 1 ;;�� F I 3X