HomeMy WebLinkAboutMiscellaneous - 42 Mill Road ,---.
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N2 1985 Date/� . . ..........
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o?;.,.`` ;L TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
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This certifies that ..�7...l.,=............ .: l �c,cW.........................
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has permission to perform .:.: f- ---..............................................
wiring in the building of. ,c: ..............................................
at.-7/.-;.......... c .... ............................. .North Andover,Mass.
Fee-:35....`........ Lic.No.4Z3 ..... (c.-P ........................
9�, �� ELECTRICAL INSPECTOR
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WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
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Office Use Onl
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c7l Ike %Ommonwtaltll of musachuoetts Perm No. �9
Department of Vubiic $afctg
oaupancy A Fee Checke��
20 (leave blank)
BOARD OF F1Rt PREVENTION REGULATIONS 527 CMR 12:00
AAPPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
. All work to be performed In accordance with the Massachusetts Electrical Code. 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) pate 11/2/99
City or Town We NORTH ANDOVER To the Inspector of "res:
The udersigned applles for a permit to perform the electrical work described below.
Location (Street & Number) 42 MILL ROAD
CATHY RIDEOUT
Owner or Tenant
(978) 689-9140
Owner's Address
Is this permit in conjunction with at building permit: Yes ❑ No ® (Check Appropriate Boz)
purpose of Building Utlfity Autfarizstbn No.
Existing Service_Amps __J-Volts; Overhead ❑ Undgmd ❑ No. of Meters
New Service _Amps_J___ _Volts Overhead ❑ Undgmd ❑ No. of Meters
Number of Feeders and Ampacity
Loc!�lon and Nature of Proposed Electrical Work
Ib
No.,pt Lighting OuWts
No.of Hot TO* No.of VWWormws KVVA
No.of Lighting Fixtures ng pool
Above
❑ l�rnd.❑ Oenertor . It1/A
No.of Emergency Lighting
No.of Receptads Outlets No.of ON Surn.ra Ssitery Urhas
No.of Switch Outlets No.a Gas Sumer FIRE ALARMS No.of Zones
No.of Detection and
No.of Ranges No.of Air Cond. tons Initialing Devices
No.a lost TbW Total No.a Sounding Devices
No.a Disposals pumps Tons KW
No.of Sett Contained
No.a DishwashersSpecefArN Hesskq 1(1fV petsctioNSound4►g Devices
Municipal
No.of Dryer Heating DrAm KW LOCO Connection❑fir
No.of No.of :.chi
No.of Water Heater KW Sloni Waste Wiring BURGLAR ALARM.
No. 140to Massage TLbe No.of Motors TbW HP '
OTHER:
INSURANCE covERAGE:Pursuant to the requirements of Massachusetts a Its substantial equlvalen4 YES G NO O 1
ws
1 have a current Liability Insurance Paley Including Carpue
have submitted valid pros Of aamne to the office.YES O NO O It you have checked YES.please Indicate the type of coverage by
checking the boot.
INSURANCEa 0 BOND. O OTHER O (Please Spedty) (Expiration Dote)
Estimated Value of Electrical Work i 225.00
Final 11/8/99
Work to Start 11/4/99 inspection Date Requested: Rough
Signed under the Penalties a penury: 44� uC. NO. 1 7 Z 1(
FIRM NAMEryi UC. NO. . 1231.0-_
Licensee nnnA1 d A Arnnka Signature d�09
Sus.W. No. _ (Z071) 741 2-A -
Address 111 Morse Streel<, Norwood YA All.Tot. No.
OWNER'S INSURANCE WAIVILA.1 am aware that the licenser Oot_e not hwe ow Insumnes coverage or Its substantial equivalent as re•
qulred by Maseschusette Genwal Laws. and that trey signature on this pem* sppaoaton waives this requirement. Owner Ag!nt
(Please chock one) 35 00
Telephone No. PERMIT FEE !._
isignatw• of Owner or Agent) V-nmi