HomeMy WebLinkAboutMiscellaneous - 44 Meetinghouse BUILDI, ` LE
NORTH 1
3:;•_tom``°-+''."�O� TOWN OF NORTH ANDOVER
p PERMIT FOR WIRING
"SACH sE�
This certifies that ... - ......... e.. ................................
has permission to perform -.,:-... .....................
wiring in the building of.... +*-..... -..................................................
at... .... h:t s � �!'�.. .:. ......... ... ,North Andover,Mass.
Fee.?O............. Lic.No lS ............. ' ....
...
ELECTRICAL INSPEMR4"-
Check #
575 /
I JW t,U1VbVJULV VVrJUJn Ur trfti.a]rtt,nv.wi i --•••w���-�••,
DEPAR7lVIF1 TOF SAFETY Permit No.
RD
BOAOFFTREPRE'VEYI7 RDGUL 4H0NS5V a 812.-00 -��
Occupancy&Fees Checked
APPLICATTONFOR PERMIT '0 PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat l
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the el ctri 1 work described below.
Location(Street&Number) rt:,(-�
Owner or Tenant v 6 P.^-t E 1 o,,-
Owner's Address (Z( C A,4—Z-1'- C" &c0 K-t., A10- •°t-
Is this permit in conjunction with a building permit: Yes ✓�No a (Check Appropriate Box)
Purpose of Building 'P U 0 Utility Authorization No. 7-11
Existing Service Ampsivolts Overhead a Underground No.of Meters
New Service '-ZO 0 Amps112L-?,'Volts Overhead M Underground No.of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work W PU -t Ps i -M J S
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
round El Rmund ri
No.of Receptacle Outlets 2� No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
No.of Gas Burners
No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones
Tons
No.of Disposals No.of Heat Total Total No.of Detection and
Pumps Tons KW Initiating Devices
No.of Dishwashers Space Area Heating KW No.of Sounding Devices
t.
No.of Self Contained
Detection/Sounding Devices
No.of Dryers Heating Devices KW Local Municipal Other
Connections
No.of Water Heaters KW No.of No.of
Siam Bailasis
No.Hydro Massage Tubs No.of Motors Total HP
OTHER•
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Ihave&brriwdvafidpoefof==lodrOlfi=YESET If)mhmededodYFS,plea9eindraleftWofamWby
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OWNER•SNS[JRANCEWANSI Ianmmdiattbet+o wdmnothwietbenumr eorneag crgsWignalq valmltasmgxiedbyMmct»SGm2WL3ws
andthatmysignahueendtispmritapplicationwamfttequ Mmt
(Please check one) Ownera Agent
Telephone No. PERMIT FEE
signature or Ownergen
OF
Dat, .4 +
NORTH
o� TOWN OF NORTH ANDOVER
•
• PERMIT FOR GAS INSTALLATION
.
• o.9
�,SSACMUSE�
This certifies that . .. .., �, . '. . . '. . . , . . . .
has permission for gas installation
in the buildings of . . . ::z >4- ! . . . . . . . . . . . . . . . . .
at .' y. . . . ::-��. �,Gq! ., -sem oorth Andover, Mass.
. . . Lic. No (np"50 ! .! ,�- ,-a. ..... . . . . . . . .
GAS IN2EC OR
Check#
ell
5 6 L..
MASSACHUSETTS UNIFORM APPUCATON FOR PERNIlT TO DO GAS G
(Type or print) Date
NORTH ANDOVER,MASSACHUSETTS
Building Locations -/ q o Permit# ��G
Amount$ `S-� o-a
Owner's Name
New Er/ Renovation ❑ Replacement a Plans Submitted ❑
� a
V10 w o U H x x On
o w a z z o H w
Pq � a a
z O
G zGw7 WH z z E; O Wp k. W U
pC O c)
W A C�7 .�� OU Ow' � A A0
. H
SUB -BASEM ENT
BASEMENT
1ST. FLOOR
2ND . FLOOR
3RD . FLOOR
4TH . FLOOR
5TH . FLOOR
6TH . FLOOR
7TH . F L O O R
8TH . FLOOR ELL I
r
(Print or type) AZ
/ Check one: Certificate Installing Company
Name �`�°`� Corp.
Address7 r/ ? ��t Partner.
Business Telephone (y Firm/Co.
Name of Licensed Plumber or Gas Fitter
INSURANCE COVERAGE Check one;,/
I have a current liability Insurance policy or it's substantial equivalent. Yes No
If you have checked yes,please i cate the type coverage by checking the appropriate box.
Liability insurance policy Other type of indemnity 13 Bond
Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 of the
Mass. General Laws,and that my signature on this permit application waives this requirement.
Check one:
Signature of Owner or Owner's Agent Owner Agent
I hereby certify that all of the details and information I have submitted(or entered)in above application are true and accurate to the
best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachusetts St jeclAsCom
pter 142 of the General Laws.
F2
By: r7 Signature of Licensed Plumber Or Gas Fitter
Title Plumber -16 1 4�
Tit
City/Town Gas FitteLicense Number '-
er
APPROVED(OFFICE USE ONLY) Journeyman