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HomeMy WebLinkAboutMiscellaneous - 477 STEVENS STREET 4/30/2018 77 S.E vEr,.s ST i I i I 1 i 1 i i rG" 6 7 5 Date.Z /***`­` 4, TOWN OF NORTH ANDOVER PERMIT FOR WIRING CHU This certifies that ......ca... ....4..(a...t.... ................... has permission to perform ........ Id.v/. . K�. ........ wiring in the building of....... ................. at ....... ...................... North And lass. 'Z--010 -Ck) I c.Noe4kvf�. iree.A............... Li .......... Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer THE00W0NWE4LTH0FM4SMr4CHUSE77S Office Use only �f DEPARTMENTOFPUBLICSAFEIY Permit No. ( l BOARDOFMEPREVEM ONREGM77ONS527CMR12:00 ' Occupancy&Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date A) -r)r) Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location(Street&Number) ¢ PrzezuX Owner or Tenant Owner's Address v ✓ Is this permit in conjunction with a building permit: Yes[a No (Check Appropriate Box) Purpose of Building Utility Authorizatio N Existing Service `� Amps& Zy0 Volts OverheadE:f Undergrounda No.of Meters New Service 300 Amps�Volts Overhead Underground 1:3No.of Meters Number of Feeders and Ampacity o2 a(5 A>, loo A,,,a Location and Nature of Proposed Electrical Work a No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.�of Lighting Fixtures O Swimming Pool Above Below Generators KVA and a1:1round No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas Burners 1 ( 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 r] No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other r Connections '2S No.of Nater Heaters KW No.of No.of g Signs Bailasis J S No.Hydro Massage Tubs No.of Motors Total HP ! s' � I OTHER- Instra=Co�a�Rxs=tlotfiemfmantdsofMmwfiwftGauW Laws IhawaamutlxbilityhurmxPbhcymd dMCarVide CovmWc•itssksbrtdetivalat YES r7i NO IhawahnittedvalidpoofofsatretotheOffioa YES n NO [7 W,,uutmedviwdYES,pleaseadic&thetAxofoovaaWbydukwgt c bcD WStIRANC L M BOND OMER ftweSpeafy) EVit�6m D& EstmmadVahredEkc :al Wok$ WoiclDSWt /0`'42y-00 hWec cnD*ReWesed Rargh Final Signed undcrm FWMNAME t Liot seNa r�L _,�,_ Sigrhue LiteNo A l f:3.5'� —TTAL" ` BtsirtessTelNa �`' Y"/• iv AkTe1Na OWNER'S PsSURANCEWANER;IamawatethattheLi=wdotsnot chem ranoeoaerage"abutialcgzAatasmgmedbykia%xh dtsCetaalLaws anddutmysigWaecnftpt:aniwaiwsdisra*i ieM (Please check one) Owner Agent / Telephone No. PERMIT FEE V r Date . . . . . No 4618 ': ?o �tia TOWN OF NORTH ANDOVER 3 ;.r -".'� 0 i p PERMIT FOR PLUMBING ' This certifies that . . . . . . . . . . . . . . • • ��' • • //f es- . . . . . , has permission to perform . . ^ . . . . . . . . . . . . • • • { 1 plumbing in the buildings of . . . . . . . . . . . . . . . . . . . . . . . . . >. . . .. . . . . . . . . . . . . , North Andover, Mass. F . . . . . .Lic. No.. . . . . . . . . i,-� •:. .. PLUMBING INSPECTOR Check # WHITE: Applicant CANARY: Building Dept. PINK:Treasurer i I MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER,MASSACHUSETTS Date Building -ag/S S-i- Owners Name �i�✓ /i %LI Z Pe # IE ount ( Type of Occupancy New rj Renovation Replacement 0 laps Sub ed Yes E] No FIXTURES � w a .. rAFa FcrZnTWH w w a E~ Cn a o a SEBEM ISI:Hnx zrnrvoaz �t - . � f 3MH-OCR ams FlaR 5MHIM siAr� • gm ROM e (Print or type) / Check one: Certificate Installing Company Name <-/1 44,4/ _ GW fdCe— Corp. Address l—I Co r l,,SS Amt/ K(© Partner. Business Telephone G�'7 ,�— -�-77 -.2a S--( Firm/Co. Name of Licensed Plumber. Insurance Covem e: Indicate the type of insurance coverage by checking the appropriate bor. Liability insurance policy Other type of indemnity Bond Insurance Waiver L the undersigned,have been made aware that the licensee of this application does noi have anyone of the above S''s" t three ipsutance Signature Owner Er Agent I hereby certify tify 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 Mas �in e lutnlb' g Cod�and hapter 1�ofvhe�,Gjenem"�IlAws, By- State os um er Type of Plumbing License Title 2 �4� City/Town Licei ense Num eS r Master Journeyman APPROVED(OFFICE USE ONLY