HomeMy WebLinkAboutMiscellaneous - 47 SANDRA LANE 4/30/2018 (2) 47 SANDRA LANE
210/098.A-0070-0000.0
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The Commonwealth of Massachusem Office Use Only
Department of Public Safety Permit No.- a (C(Cl
BOARD OF FIRE PREV'EIMOU REGULATIOtas SZ7 CMR 1Z-00 Date Issued:
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
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To the Inspector of Wires.
The undersigned applies for 3 Ptruit to perform the electrical work described btlou.
1"Ation (Street & Numb or) L
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Owner or ?anent ( 1ma
Owner's Address
13 this permit in COUJunctiOn with a building permit: YasE3 Ito (�J� (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead 0 undfrd He.. of htter*:1
Hew 5-errice —Acps volts Overhead El Undtrd❑ Ito of Iseters
Humber of Feeders and Ampstity
Location and Nature of Proposed Electrical Work
No. of Lighting Outlets Ho. of Hot Tubs No. of Transformers Tot;
No. of Lighting FixturesSwi=ing Pool Above In
5rnd. ❑ gr-nd. ❑ Generators LyA
1110. of Receptacle Outlets NO. of Oil Burners H-a. of Emergency Lighting
No. of Switch Outlets watte Units
No. of Gas Burners FM ALARHS Ito. of Zone'$
No. of RangesC:� NO. of Detection and
No. of Air Cond. -3. Initiating Devices
No. of Disposals No. of leets Totai. Total
r!an2-- Na. of Sounding Devices
No. of Dishwashers Space/Area Heating KW No. of Self Contained
Detecti n/Souncting Devices
No. of Dr-fers
I)testing Devices KW Local 0 Itunicipal
Connection 00thtr
No. of Water Heaters KU Ito, of 1i 0 of "W Voltage
Utrtnt
No. Hydro Massage Tubs No. of Hotors Total HP'
APR 6
INSURANCE COVE M Es Pursuant to the requirements of tiassachusects General Laws
I have a current Liability Insurance Policy including CompLatcd Operations Coverage or its substantial
NO UJ I have subaitted valid proof of mama to this Office. YES[] No C3
equivalent. YES NO OF's a
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INsuRANCEE] BOND C] 0I8ER C] (pl.sa. Specify)
Estimated Value of Electrical Work S Mpiratio--TU—ate)
Work to Start ---- -- peccion Date Requested: Rough Will call 'Final
u
Signed under the pensitili7sof ju
FIRM NAME Deter tleedham Electrical Co . , Inc. LTC. No.(A)13213
LLc4snse* Peter f4eedham SLgnstturz(_�j LTC. Va.-
&M� (E)T77FT-
or , M A U41)*gas. lei. No.M-3 9 5--Trrl-Z—
Addras,59 Oakland 9treel - Nre-d Zip(
Alt. Tel. No.6 17-7TU--n7-3—
OWNER'S INSURANCE WAIVER: 1 am aware that the Lir-enx*Q dols not have the insurance cover-
age or its suo-
cantial equivalent as required by Massachusetts Caneral r2—us,-In-4that ur signature n this pe it
:pplication waives this requirement. Owner Agent (?lemma check one) .n
Permit Fee:T 00
Telephone No. Receipt
(Signature of 6w-�aror�Acenc)��
f Gr
Date......
7-/..
TOWN OF NORTH ANDOVER
0
PERMIT FOR WIRING
'y,�SSACMuSf
This certifies that ........... Alk ".f" t'-Ialsi
. ...... ......�..v..............................................................
has permission to perform ....... .....�.'.'j........ ..... ..........
A..
wiring in the building of...... ... 'Alk.i %r.UA.........................................
at......... ............ ..i.........4d......... ,North Andover,Mass. ;-5—
Fee...... Lic.No.,14AY.13.............................................................
ELECTRICAL INSPECTOR
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WHITE: Applicant CANARY: Building Dept. PINK:Treasurer GOLD: File