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HomeMy WebLinkAboutMiscellaneous - 324 HILLSIDE ROAD 4/30/2018 _ 324 HILLSIDE ROAD 210/025.0-0055-0000.0 _ � E �Q ': 1 M E J B 0A R D 0V 1-1 F.A I. ( I-1 �e 146 MAIN S'T1ZIl,E-I ` TELEP140NE# (>08) 6<88-95 30 4:';1ILh--A 710 1"OR OI (SEP IIC S Y:S7EV) Pursuant io Sectioi1 310 0,1r' - 354 of the State EnVli'O11!)1e111C11 Cock. Title G" Address 6Z4 Contractor hired for work: NameZ�aG� � n ; / Phone Address ,LI j Date for scheduled abandonment The septic system at the above address has been abandoned acc©rdi��F Title V specifications. A777' Si azure of Contra o Method of septic tank abandorunent (check one'). O re ZO val ( j Landfill (/-#crush ( ) other Name of Offal Hauler ] -This form must be returned to the North Andover Board of Health. PLEASE DO NOT WRITE IN THE SPACE BELOW FOR HEALTH REPRESENTATIVE'S USE ONLY. 136 -7117 Q_T Inspecting Agent Date W8)STELLAR ADJUSTMENT SERVICE r POST OFFICE BOX 516 METHUEN, MASSACHUSETTS 01844 • TELEPHONE (00686-5000 Date: November 3, 1992 Building Commissioner/Inspector of Buildings , F. e DepaNtmen t Board of Health/Board of Selectmen Town Hall North Andover, MA 01845 NOTICE OF CASUALTY LOSS TO BUILDING UNDER MASSACHUSETTS GENERAL LAWS, CHAPTER 139, SECTION 3B Claim has been made involving loss, damage or destructions of the property captioned below, which may exceed $1,000.00 or cause Massachusetts General Laws, Chapter 143, Section 6 to be applicable. If any notice under Massa- chusetts 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 file number. Insured: GEORGE W. & MARY SABA Property Address: x_324 Hillside Road North Andover, MA 01845 Policy No. : HOP0002426-03-13 Seaco Insurance Company Loss of Fire (burn on floor) October 27 19 92 File No. : M-341-92 Ronald Gagne Title: Adjuster On this date, I caused copies of this notice to be sent to the persons named above at the addresses indicated above by first class mail. (1'1G�� zo!�o, 11/3/92 Signature and date