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Miscellaneous - 44 BRIDGES LANE 4/30/2018 (2)
/ 44 BRIDGES LANE 2101 � 104_ 0000.0 I Date.s.1Z ..�.d.�2....... t NORTM 1 3? ��o'++.e�ppL TOWN OF NORTH ANDOVER p PERMIT FOR WIRING T- SACMUS This certifies that ...... .f'�.............. ....1 ..'............................... has permission to perform ... ............. wiring in the building of....."Rr.q.... ......L 4....'.............................. x M �^ at,l.:!.1......(...4V ,W.......................................... .Northdover,Mass. Fee.. .�r . Lic.No. ....... LMCTRI EC-MR Check # 6 6C ; o Commonwealth of Massachusetts 0(,11cial I ,sc 011IN -1 Department of Fire Serviceslei1lit No z"ge, [ r. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 9 05] (j,11ve blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK \11 1A01'k to he performed in accordance\011 the\11SS,1CI1L1SCtt5 VIC06C,11 Code(\11`0. 527 CAIR I t11LE,ISEPRI,\T1.V1NK0RT PE ILL LN" oR,11ITI0,V) Date: n /2q 1 6 L City or Town of: M 1--)o\,/C—Vz- To the 117SIVc'101'of WiITS.' By this ;tpplicatioll the unders I glied gives notice ot'llis or her intention to perforin the electrical work described below. Location (Street& Number) 41 \-a-ae- Owner or Tenant NJ A-?,,\4, —T AV' j_\0 Owner's Address /4 4 5y-ls�e Lxag—A Telephone Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building C L_ ' L, Utility Authorization No. Existing Service .hips (� /Z,40-Volts Overhead El Undgrd [jj' No. of Meters New Service Amps Volts OverheadF] UndgrdF-1 No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: T_? A C y C,6 ��Alz D pok -f ill.[, able prat be leant,/by 1he hes pt"'t0l,of 11,1/ No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool No.of Emergency Lighting iBatter v Units No.of Receptacle Outlets No. of Oil Burners i'FIRE ALARMS o6 of Zones 1 IN' No. of Switches No.of Gas Burners No. etection and --I Initiating Devices No.of Ranges No.of Air Cond. Total Tons �No.of Alerting Devices I No. of Waste Disposers Heat Pums:p Number I.To.p.s I..KIW No.of Self-Contained TotalJ Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW ILocalEl "'u"ic'P�' I E] Other L _Connection No. of Dryers Heating Appliances KW Security S stems:* No.of Water No.of No.of No of Oices or Equivalent Heaters KW Signs Ballasts Data Wiring: No.of Devices or Equivalent No. Hydromassage Bathtubs No. of,Motors Total HP Telecommunications Wiring: No.of Devices or Eqt!ivalent OTHER: 0D. Estimated Value of Electrical Work: q (\\Ten required by municipal policy.) kk ork to Start: 612 f 6 (o Inspections to be requested in accordance with MEC Rule 10, and Upon completion. INSLRANCE COVE AGE: Unless waived by the omier, no pci-iiiit tar the perl'orniance of electrical work may iSSLIC llic licensee provides proof of IiabiliN insurance inckiding operation"covel_LNC or itS sl.&S(11116a1 CtltlivJlVllt. I Ik' Ulldcrs i-Ilied certifies. that'Alch co\cl.,I"c i", in 1,01-cc. :111d has c:,Ilibitcd I'mot of:;arae to the permit officu. CI ll::C'K ONE: INS(. (Sliccily:) finiler the pains lim1penaftiev qfpqjiirl,, Jtaf the hifim,natil)"0/1 ibis epplicafian Irife wid co.litlylefe. LLC. 1,0.:A I 186 Licensee: Gjkloer�- FALCxA :Jc. .,qO.: 3 us. Tel. No.--18l-q'tZZZ75_ Address: 2 Is L Vm"t _UL14 L-CIA� �z — ,�It. Tel. :SCCLII-ity System Contractor lJLVnSC I-CLILIii-Ld for this work; if applicable. enter 1�_IlcelSC IlUniber licrc: O1•VNER'S INSURANCE VVAIVER: I ani awlt-c that the LiCull-See not have the liability il"ISLinince lecluircd by law. %1 illy:s1(_1MltLlrc bCIOW, I 11CI'Lby Wdi\1C this I-CtIUil-ellj..11t. 1 11111 the(check one)Ej o%llcr 11 owner Owner/Agent ignatu re h f R III Location el • 6r -03 No. Date NORTH TOWN OF NORTH ANDOVER 3? OL h D Certificate of Occupancy $ s'•�•�'E<�' Building/Frame Permit Fee $ a ACMus Foundation Permit Fee $ Other Permit Fee $ TOTAL $ aZ q 4 —` r Chr V,,# t 6769 Building Inspector TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI RENOVAT OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER. DATE ISSUED: m SIGNATURE: ✓ < � - Building Commissioner/I for of Buildings Date z SECTION 1-SITE INFORMATION IO 1.1 Property Address: 1.2 Assessors Map and Parcel Number: L(� Ziy '-,1-J611(jY 0d Map Nurfiber Parcel Number 1.3 Zoning Information: 1.4 Property Dimensions: V" Zoning District Proposed Use Lot Areas Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard RNWred Provide R 'red Provided ReqWred Provided v 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: 1.8 Sewerage Disposal System: Public ❑ Private ❑ Zone Outside Flood Zone ❑ Municipal ❑ On Site Disposal System ❑ SECTION 2-PROPERTY OWNERSHIP/AUTHORIZED AGENT Historic District: Yes No 191 2.1 Owner of Record o&zr 7- Name(Print) Address f r Service: i Signature Telephone 2.2 Owner of Record: � fie_ __-r— O Name Print Address for Service: M Si` ature Telephone SECTION 3-CONSTRUCTION SERVICES 90 3.1 Licensed Construction Supervisor: Not Applicable ❑ Licensed Construction Supervisor: O License Numberaan Address' Q Z� Expiration Date ic Sig afore Telephone 3.2 Registered Home Improvement Contractor Not Applicable ❑ 1�'�✓���`�ihP��--�%�!� GUS o� ��S/�� Company Name M Re istration umber r 2 L ifi�K n/ w g r Address � ' "9,0, Expiration Dat �^ Sin re ele hone Y/ SECTION 4-WORKERS COMPENSATION(M.G.L.C 152 § 25c(6) Workers Compensation Insurance affidavitmust be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the builg permit. Signed affidavit Attached Yes.......ff No.......❑ SECTION 5 Description of Proposed Work check all applicable) New Construction 0 Existing Building ❑ Repair(s) Alterations(s) ❑ Addition 0 Accessory Bldg. ❑ Demolition ❑ Other ❑ Specify Brief Description of Proposed Work: 1�a/�01�r/. ,fid dhd� �a�.,i r-'•��d��-- �,/^�� d�c,?�r��'`-�. �76a use � SECTION 6-ESTIMATED CONSTRUCTION COSTS Item Estimated Cost(Dollar)to be �OFFICIALIUS1G,I NLY Completed by rmit a licant $ �� (a) Building Permit,Fee _ 1. Building 2 Multi lie 2 Electrical (b) Estimated Total Cost of Construction 3 Plumbing Building Permit fee(a)X (b) 4 Mechanical(HVAC) y ,sem 5 Fire Protection 6 Total 1+2+3+4+5 woo Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUILDING PERMIT L as Owner/Authorized Agent of subject property Hereby authorize to act on My behalf,in all matters relative to work authorized by this building permit application. Signature of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION ,as Own Authorized Agen o subject , property Hereby declare that the statements and information on the foregoing application are true and accurate,to the best of my knowledge and belief VIZ 9-, Print Name Si ature caner A ent Date NO. OF STORIES SIZE BASEMENT OR SLAB SIZE OF FLOOR TIMBERS 1 2ND 3RD SPAN DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X , MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE N� W The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02 919 ,M 5,•'' Workers'Compensation Insurance Afdavit Name Please Print Name: /� + �►l4r Location: ll 11062-5 . City Aw //orf/Gu'Z Phone...# ! 7� � $t'5-_ I am a homeowner performing all work myself. I am a sole proprietor and have no one working in any capacity �— lam an employer providing workers'compensation for my employees working on this job. Company name. AZ� &AO 6--,l/i9AnZ Call S Address �-2 (,6 `✓e�l/fiC s�- city. �/✓/ Z- /�- Phone#:_ Q 7,6, -z;ee Insurance:Co. //�/ //?iC� Policy# G� �d 3irc 7v3 Company name: Address City Picone#k Insurance Co. Policy# Faittse to sec ur coverage as required:under Section 25A or MGL 152 can lead tothe imposition at eximinat penaffies of:a fine up to$1;5t] and/or one years'imprisonment_ weKas_cnol penalfles�n�heS�afaS]S]P OWCDRQERand_afira�f(.$1II0.QD)a agaain me understand that a copy of this statement may be forwarded to the office of lm+es�of the DIA for coverage verificadon. n I do hereby certify u e hs and penalties of peoFury that Me in bmiatiba provided above is true and correct_ Signature DateB Print name 1/ � 7� Phone.# Official use only do not write in this area to be completed by city or town offdar City or Town Perrrut/Licensira Suffi lng Dept []Check if immediate response is required Licensing Boa p Selectman's C Contact person: Phone# Health Depart Ei Other i i 144 NORTH ANDOVER BUILDING DEPARTMENT Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in properly licensed solid waste disposal facility as defined by MGL Chapter 111, S 150 A. The debris will be disposed of in: 1146 moi - 1� � �7 a cy LZ 2D (Location of Facility) SigpXturePWemiit Applicant Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector NORTFj E Town of a Andover 0 yy �' -- .� dower, Mass., T LA COC MIC W C V A0RATED PP�t-`C, BOARD OF HEALTH Food/Kitchen Septic System PER.. MIT T D lev �� Tku.-A-V-b BUILDING INSPECTOR THIS CERTIFIES THAT....... .. ............... ...... . ......... .. ....................................... Foundation ........ ...... .. . 18 41q has permission to erect... ., . . .......... buildings on ........................ ..R�........4i� ..... Rough to be occupied as ..Scab!�.. . ��.�.I.......C�+���� 4 ft R41111 tows ..�. .. .... ......... .1.......................... . . provided that the person acceptiri this permit shall in every respect conform to the terms of the application on file in Final this office, and to the provisions of the Codes and By-Laws relating to the Inspection, Alteration and Construction of Buildings in the Town of North Andover. ) 4044 D ® 73 VO dog== PLUMBING INSPECTOR VIOLATION of the Zoning or Building Regulations Voids this Permit. Rough PERMIT EXPIRES IN 6 MONTHS Final UNLESS CONSTRUCTION STARTS ELECTRICAL INSPECTOR Rough ............................................................... Service BUILDING INSPECTOR Final Occupancy Permit Required to Occupy Building GAS INSPECTOR Rough Display in a Conspicuous Place on the Premises — Do Not Remove Final No Lathing or Dry Wall To Be Done FIRE DEPARTMENT Until Inspected and Approved by the Building Inspector. Burner Street No. SEE REVERSE SIDE smoke Det. ' �LZ � .. Y r . �. .Yet a.1.,.`r W - -•.- .. 'vv. y No.: Date Alf) BY CHECK AORTH 9 70 01�j OF NORTH ANDOVER `' BUILDING DEPARTMENT 0 Su Iding%Frratm©Permit Fee $ SACHUS� Foundation Permit Fee $ I/ Other Permit Fee $ Building lnspe-tor'61'�—'' PERMIT NO. APPLICATION FOR PERMIT TO BUILD — NORTH ANDOVER, MASS. PAGE 1 ' MAP i-40. I LOT NO. 2 RECORD OF OWNERSHIP DATE BOOK PAGE — ZONE SUB DIV. LOT NO. I LOCATIONb f-I PURPOSE oFenao J �(� 1 OWNER'S NAME �� NO. OF STS DRIES SIZ OWNER'S ADDRESS r( BASE 6R-Sb*S �o i C UL` h /I'�f T-'1'1 �S ( IS ,`GT ARCHITECT'S NAME SIZE OF FLOOR TIMBERS IST l I)J�12ND J, 3RD 1`' ^ BUILDER'S NAMEH-� -3 SPAN -- DISTANCE TO NEAREST BUILDING � / '7�J�- E�� ' DIMENSIONS OF SILLS --- DISTANCE FROM STREET l�l POSTS DISTANCE FROM LOT LINES-SIDES REAR GIRDERS AREA OF LOT FRONTAGE HEIGHT OF FOUNDATION THICKNESS IS BUILDING NEW SIZE OF FOOTING X IS BUILDING ADDITION MATERIAL OF CHIMNEY 43"CK CW(xi GC'v► wt( CII//o IS BUILDING ALTERATION IS BUILDING ON SOLID OR FILLED LAND WILL BUILDING CONFORM TO REQUIREMENTS OF CODE IS BUILDING CONNECTED TO TOWN WATER BOARD OF APPEALS ACTION, IF ANY IS BUILDING CONNECTED TO TOWN SEWER IS BUILDING CONNECTED TO NATURAL GAS LINE ( 5 ( S -�0�' A �%�n4�� LAND COSTA.SROPERTY INFORMATION INSTRUCTIONS SEE BOTH SIDES Q r _ I / C ©� ��L .� EST. BLDG. COST "10Qa Q A'^' PAGE 1 FILL OUT SECTIONS 1 - 3 ►1 '/�' e�/'�1 {/ (/r// //�� /V\ IITVw/ EST. BLDG. COST PER SQ. FT. PAGE 2 FILL OUT SECTIONS 1 - 12 �(,/,��� ( \ !`,Y- ,^^,^ ��0 EST. BLDG. COST PER ROOM J/ � ��/ VVVItt �'^V /Y'C'J� SEPTIC PERMIT NO. ELECTRIC METEPS MUST BE ON OUTSIDE OF BUILDING r S v� C C of 4 APPROVED BY ATTACHED GARAGES MUST CONFORM TO STATE FIRE REGULATIONS PLANS MUST BE FILED AND APPROVED BY BUILDING INSPECTOR DATE FILED BOARD OF HEALTH SIGNATURE OF OWNER OR AUTHORIZED AGENT F E E PLANNING BOARD PERMIT GRANTED I / 19 BOARD F SELECTMEN BUILDING INSPECTOR WHITE: Building Dept. CREAM: Assessors CANARY: Treasurer BUILDING RECORD 1 OCCUPANCY 12 SINGLE FAMILY I_ STORIES THIS SECTION MUST SHOW EXACT DIMENSIONS OF LOT AND DISTANCE FROM MULTI. FAMILY _ OFFICES _ LOT LINES AND EXACT DIMENSIONS OF BUILDINGS. WITH PORCHES. GA- APARTMENTS I RAGES. ETC. SUPERIMPOSED. THIS REPLACES PLOT PLAN. CONSTRUCTION 2 FOUNDATION '8 INTERIOR FINISH CONCRETE _ 3 l 2 13 CONCRETE BL K* PINE BRICK OR STONE HARDWD PIERS PLASTER _ DRY WALL UNFIN. 3' BASEMENT AREA FULL FIN. B M'TAREA _ 114 4" '/ FIN. ATTIC AREA _ N_O 8 M T FIRE PLACES _ HEAD ROOM MODERN KITCHEN 4 WALLS I 9 FLOORS CLAPBOARDS B 1 2 3 DROP SIDING CONCRETE �_ WOOD SHINGLES EARTH _ ASPHALT SIDING HARDN'✓'D _ ASBESTOS SIDING COMtACN VERT. SIDING ASPH.TILE _ STUCCO ON MASONRY _ STUCCO ON FRAME BRICK ON'MASONRY ATTIC STRS. & FLOOR BRICK ON FRAME CONC. OR CINDER BLK. STONE ON MASONRY WIRING STONE ON FRAME _ SUPERIOR I� POOR _ ADEQUATE NONE 5 ROOF 10 PLUMBING GABLEHIP BATH (3 FIX.) GAMBREL MANSARD TOILET RM. (2 FIX.) _ FLAT SHED WATER CLOSET _ ASPHALT SHINGLES LAVATORY WOOD SHINGES KITCHEN SINK _ SLATE NO PLUMBING _ TAR & GRAVEL STALL SHOWER _ ROLL ROOFING MODERN FIXTURES _ TILE FLOOR TILE DADO 6 FRAMING I 11 HEATING WOOD JOIST PIPELESS FURNACE _ FORCED HOT AIR FURN. TIMBER BMS. &COLS. _ STEAM STEEL BMS. & COLS. HOT W'T'R OR VAPOR WOOD RAFTERS AIR CONDITIONING RADIANT H'T'G - UNIT HEATERS 7 NO. OF ROOMS GAS OIL, B'M'T 2nd ELECTRIC 1st 13rd I NO HEATING ' r10FT{ OFFICES OF: o °m Town of 120 Main Street APPEALS 4 North Andover, o NORTH ANDOVER i BUILDING ;,a^,::.e:��,° Massachusetts O 1845 CONSERVATION e"CHUB¢ DIVISION OF (617)685.4775 ' HEALTH H PLANNING PLANNING & COMMUNITY DEVELOPMENT KAIZEN H.P. NELSON, DIRECTOR September 21 , 1988 Douglas & Jane Aitken 44 Bridges Lane Noth Andover , MA VeaA Mr. & Mrs . Aitken: T6t ins i.6 to cert ti 6 y tliat I have .im pee ted and appnoved the in�sta tation oU a woodbunn.ing .stove at your nez idenee, Zoeated at the above addnem. The instattati.on meets att the nequikements o6 the State Bui ding Code. VeA �uty yon, � Z A z't Building In�speeton /gb O . ~- Ho o v v � ( o sU. o o S` vv 1�__ ►75 �c�c� P -7— P, 7pe V) U-)0, r�_ _o vY _a r�-�—�_�1 'CcsV--- _ �94r_ _- _= ----- - �.c�_d.l.rn_c►�s��s� -cv_ou(d _ �a_v_s�c(-_rn�e����/�c�,------ ___ - --- --__--_._ �v_�_ r�vs�Cled �i� _ase►-�-.���- �Yl�ss_Codi_-�ns�v_c`��s__.__.____�_.__ -- _C,�� _AYE .oc�� ►r� `fit e r�o ce ss a-F S_e_ f►►�_ OL.? - _ P cQ ►�d 4lo n o- - `{ yu,.e ve _PerW-_`t+ 6y 4- r), v- o dos r)o ,_.-rh/3 ds- A --- c.-Cr) _-{o s o 4-G t --- - tn. hs��C�for� 0 6J eot -� an Se L. rh o�^h?q. �,0Y,_ov,5( t ____g�cl -.�: sn _ o� //�� c�e�s-�ic�l-_. -d(-�,�ryre�s�o�/��js�.- ►�.�/�_wov(d- � - - - _ _ --- - yl o+- ► n spc 4 441 co ST/IOu� - -- -1re ur e i4 i- 4- (s. `-f--i m e- 2-) o-[ - Jv( c E-*,q -Ji-_o rd_ m.� � - - zc ShoL) (d - h av L� A- Lr nseCl. honzo rgsp _(; / h S�o c c�- r'YI `S v �n s-e}� ►cli cv o v I f - 'o63 e -I'-- �n-f- adb "C Su es�d, -��y � i� ./C)q fk e �-f- /+il�S��c�Use s �ae,5`� oi-- bcense P/6nl t -z—Y7sp s 4-w d am- e y cro Li (d ©J- p wood S-(�o u � o --------- �s m _tm cf -f -�_A - -_coy► c � _ _b.v '_ -h mob_-_ ---- -- ---— -----�o�-v fc�-C-�dL.rf',Y_sI G��`..f//c',,�►'1__-_,�_.wo© cl sc���q- h_I ? #3� dt.d- ___---- - . "a ----- _ (s rye ,s� f1��-- Covr'.c°� c�_ � -_�, ss_wow------ --- - -- IL _ + � d Zvcdld- / - - - __— ------- ul- J - - -�}-� 't Iii - 1-�'► �� a ---c-d-- moss _ H-ci__Jh�_y� - - Y73��c Sat -41141-- S—a --- - 4_tom _ 11_S - L' 1 r1 –- _- .Sv�U y Cq- 09 Q4�4q v �s o� /�-►� ��s c-c'Mo� ` co dil+-OD )r S�vv� N vJ ,ch,wt, . � ��- Lc/I`-h. M"9-"gs- 5- �e 8"(d/7 Cd dlt �v,cl 1v p-Y c r n �ct C6Y1 d(-b M --- SC e A d— cas_ ���1--�C,_C��^_►��YI x�( !g-'�""�'k@_ SIJ���'1� l�r�ov o✓ .�.v/ rC�G 1_y1 _ _ __—__ _ _ _- --- _aYt_e-6160 19 wood a�01/0 s4-1-S Me /h s1eC.c,_ 666_ hJ��a r�i��►:--f o_(cf �,��-= - - -- — _-__ _-_ __--–5►'h�r�if l-�d ho�h_��er�c�c� _�r.h_c_�_ �e_�i..�cl__L�.�.h__��_______—. - - - - _ �4-,,a`f'�l�,h�s-�-//l�r�- -�{� -�i i s-_ _s���..�%c►�ori.----- ----- __. ___ i� � � m __Vis-• ---- ----- _ //v we h-y-k-r _ s . - cl t5 v c r }� Y-�/q-17-' .yr.►--?� s.-vl. ------- 5 - -77 II)O-Ild-) wl&_fiec�q _3-- �_ � s"� cl - - r �- r�P�' k_ e ern ,�-►zL _. L5 4e- 8 -0,b AS Soo* S h A d 4_. c h#n cGaA— CID , -Ca , `19-s w0'Y-4-04 wt-4 4Q c/ l �xc Svvv�ov�cMa `T�t e (-��sed S►�?i zDO 'q =ENERGY UNLIMITED ® OF NEW ENGLAND INC. 303 Boston Post Road Wayland, MA 01778 (617)358-7358 5"p 7� i Fa ' Dde'2�" i"74-c�� Aw i 0-7F � � ^ S� c ENERGY UNLIMITED OF NEW ENGLAND, INC. 303 Boston Post Road WAYLAND, MASSACHUSETTS 01778 (617) 358-7358 CUSTOMER'S ORDER NO. PHONE DAT • i NAME D- -- ADDRE — - -_---- .40-444-0� SOLD BY CASH C.O.D. CHARGE ON CCT. MDSE.RET'D. PAID OUT 9 QTY. F:. 1ESGi71f?TIC3N P,R4CE n MOUNT b Uc Ste " ---- - ------ ; D- - i I cF I — Full refunds on stock items returned within --- - —M --- ------ I- - -- seven ay— er�andise credit only will be i given for stock items returned within thirty i — -. ---- - days. Absolutely_no returns after thirty � days. No refunds, cancellations, or returns on-s eciai-- orders o�-cusfoni p prod-ups. i Customer is responsible for obtaining building b permit. TAX RECEIVED BY TOTAL I All Claims and returned goods MUST be accompanied by this bill. 5045 PRODUCT 610 f PM 1010 CONMAOHYYEALTH AVE ! v C0NSTRUCTION SUIS ? s >lz � oa 1/91 t a uc�Io: EFFECTIVE DATE if `l� fS 6/1/86 044057 3 t,3 ,. John R. Sullivan �► * " 152 Oxbow Road Wayland, MA 0178 an MA FEE. . : � •'` MOf vAUDP r uCEMlSS OIilCtitl HEIGHT: �` I MA of"a t,. 008: ; 1 C r. S[Ooocm l SSM a MSI MATUM OF, .."am WMEM SNOW • • . ,low flMsr�f S8 01 TMS k SOLIDIVEL SAFE'T' '` C1 'CIA11� is to xUll S ' lz U AIL ` t Lew�1 •his �u oomp�e F Solid Fuel Safety �echni� E , r ato . Expires August, 1989 FAX DItvCtOd' 1I11C DLi�eCtAI' , r Ll GboperaRian With: American Ins mme Aseo&&n Tennessee Valley.Autbmity 'American Vocad nal Wood Heaft AMance xa�al saw cid h: ' t.. iuL .:x7s�$.0 �t�:u r r�.x, Lr r&•PSS f, f r r t d�rnt r. ,t4.t ;1.x 'rt t r. aan x "�" v -�_ ✓r' ;'yf' > SON, r l h•+.;JR'4 yJ;'�t _ :,�4 Jth•zt ✓ t .E .L. t , •4 je-. 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