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HomeMy WebLinkAboutMiscellaneous - 47 EVERGREEN DRIVE 4/30/2018 (2) 47 EVERGREEN DRIVE 210/107.0-0061-0000.0 v_, � 1 * Date..... . `. 0`/ Of &ORTh� 3rO!' ��� 0� TOWN OF NORTH ANDOVER - O 9 o PERMIT FOR WIRING ,SSACMUS� g r 1 This certifies that ..... �...........�-- !:�.,-...................................... has permission to perform ........:. 4 wiring in the building of................. ................................................................. at....`/7.............. ............. !....................0 rth Andover,Mass. :f Fee`` 5.............. Lic.No.............. .....� 1� ............. ... .......................... ELECTU L INSPECTOR Check # 6420 THEC0AM0NWE4I.THOFMASSACHUSEm Office Use only DEPARD17MOFP B, Permit No. ��{� BOARDOFFREPREVFNHOI=O]NSS27aglZ- _ �,. Occupancy&Fees Checked APPLICA77ONFOR PERMITNTASSACHUSSTS ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WIT � ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: . The undersigned applies for a permit to perform the electri al work described below. Location(Street&Number) �� Owner or Tenant 1 p/r /9 yy/ p Owner's Address Is this permit in conjunction with a building permit: Yes©'"1`10 a (Check Appropriate Box) Purpose of Building cep F//.h/G Utility Authorization No. _ Existing Service d 0AmpsVolts Overhead Underground No.of Meters New Service I Amps Volts Overhead Underground No. of Meters Number of Feeders and Am aci p h' Location and Nature of Proposed Electrical Work Lt) / /29' )a L1P i 106t/ No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA round zround ri No.of Receptacle Outlets a No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets C� 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 No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other No.of Water Heaters KW No.of No.of Connections Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP o � ` OTHER !N 6r9 t htsuMXC0VWdF_A>ts�ntblhetegtmartaMs�sGa�allaws Ihaveaama�tLiab�[Yhmnatrel�licyir�chid�gCanple� Coveworitswb9wWa irivalai YES NO Ihawstbrrmedva5dpoofcfsametothe0ffi=YES F)mhmeched®dYES,plow ir&*lhelype0f drMW dle box. INSURANCEBOND M OTHER (Plea9eSpedfy) amu+ Fjqr cnDwe WodctoSlatt a ? kWectimD*Regt>�d Estirr>�dValueofF7ec>riralWodc$ Fmal Signed ands of FIRM J0 e,4g LioalseNo. PE C Lioa�e r/ Sigrnhue Bu*lMTdNa _7+/ o� 17 C/ e� G AItTdNo. OWNER'S INSURANCEWANFR;IammatethatdieLi ellsedoesnahalvedrirmsarnamveageoricsslbAarialeglavalentastagtmadbyMassadltt�tlsGalaallaws "thanry Wmuecn ftpetmrtappbcat m wai,m ft tegtme EM (Please check one) Owner = Agent ID Telephone No. PERMIT FEE$ � Signature o caner or gen