HomeMy WebLinkAboutMiscellaneous - 295 Kimball RoadA
Town of North Andover
Health Department Date:
Location: 41j
(Indicate Address, if Reslidential, or Name of Business)
Check#: 5
T"e of Permit or License: (Circle)
)�- Animal
> Dumpster
$
> Food Service - Type:
$
)�- Funeral Directors
$-
> Massage Establishment
$
> Massage Practice
$
> Offal (Septic) Hauler
$-
> Recreational Camp
$
> SEPTIC PERMITS:
U Septic - Soil Testing
El Septic - Design Approval
$
El Septic Disposal Works Construction (DWQ $
L) Septic Disposal Works Installers (DWI)
$
> Sun tanning
$
> Swimming Pool
$
> Tobacco
$
> TrashlSolid Waste Hauler
$-
> Well Construction
$
> OTHER: (Indicate)
HAffih Agent Initials
1656
White - Applicant Yellow - Health Pink - Treasurer
Town of North Andover
Health Department
Location:
Date:
(Indicate Address, if Re
1, or Name of Business)
Check
#:
TyRe
of Permit or License: (Circle)
Animal
>
Dumpster
$
>
Food Service - Type:
$
>
Funeral Directors
>
Massage Establishment
$
>
Massage Practice
$
>
Offal (Srptic) �Ipuler
>
Recreational Camp
$
>
SEPUC PERMITS:
E)
Septic - Soil Testing
$
Q
Septic design'Approval
$
LI
Septic Disposal Works Construction (DWO $
, TV,
L)
I
Septic D, isposal Works Installers (DWI) $
>
Sun tanning
$
>
Swimming Pool
$
>
Tobacco
$
> TrashlSolid Waste Hauler
$
>
Well Construction $
>
OTHER. Ondicate)-
H h Agent Initials
65 6
White - Applicant Yellow— Health Pink - Treasurer
FOR
IME A.M
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MESSAGE
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RETURNED YOUR CALL
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WILL�101 WILL CA L AGAIN
gk.JZ -TO S E E YOU
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SIGNED
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