HomeMy WebLinkAboutMiscellaneous - 5 Garnet Circle 5 GARNET CIRCLE
2101107.E-0166-0000.0
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°`,�``° '•�"� TOWN OF NORTH ANDOVER
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- PERMIT FOR WIRING
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This certifies that '.. - 7--'
has permission to perform .......- ................
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wiring in the building of
..........................................:.......................................
...... ................................... ,North Andover,Mass.
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Fee..................... Lic.No.............. ...............................................................
ELEcrP ICAL INSPEC MP
Check # /'V
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
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(3 The Commonwealth of Massachusetts P.,.n1r No ORcr U.. C)nlc,3/ (�
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�;- UcJ)artrncnf of 1'tIt)lic SaOfc,,P&,.cy & r.1 cl,.cw.d fety I/90 11..w bl.nId
c•�' /,;j� BOARD OF FIRE! PREVENTION REGULATIONS S27 CMR 1200
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
NI work to bt performed in accordancr wllh lhr Massachusetts Eleelrlcal Code. S27 CMR 12:00
(PLT-ASE FRIti"C 1.11 INKO TY CE 111. 1.1TFORIIA"1'1011) Date
City or Town ofTo the Inspector of Wires:
The undersigned applies for a permit to perforn the electrical work described below.
Location (Street & Number)-5 ( CIt;�,CLe
O--rer or Tenant PULTE HOME CORP. OF NEW ENGLAND 508 787-=0002
Owner's Address 257 TURNPIKE RD SUITE 200, SOUTHBOROUGH, MA 01722
Is this permit in conjunction with a building permit: Yes I� Ila (Check Appropriate Box)
Purpose of Building NEW HOME Utility Authorization NO.��
Existing Service Amps—1 Volts Overhead ❑ Undgrd ❑ Ila. of iteters
New Service 200 Amps 120 / 240 Volts Overhead ❑ Undgrd ® Ila. of Meters 1
Iicmber of Feeders and Ampacity 3 — 4/0 ALUM.
I.ocatlon and Nature of Proposed F.lectrl.cat Work NEW HOME
No. of Lighting Outlets Ila. of Ilot Tubs No. of Transformers Total
KVA
No. of Lighting Fixtures Swimming Fool Above In-
Z grad. ❑ grnd. ❑ Generators KVA
1K No. of Receptacle Outlets Ila. of Oil Burners Ila. of Emergency Lighting
Battery Units
No. of Switch Outlets Ila. of Gas Burners FIRE AI.APIIS Ila. of Zones
r
r°o No. of Ranges Total No. of Detection and
g No. of Air Cond. tons
: Initiating Devices
W No. of Disposals Ila. of Ileac Total Total
W Pumps Tons Ku Ila. of Sounding Devices
J
DNo'. of Dishwashers Space/Area Heating KW No. of
Rion/ Containeding Devices
No. of Dryers Heating Devices KW Local ❑ Ifi�Connnicipalection❑Other
Q _
LL No. of Nater heaters KU No, of Low Voltage
Signs Ballasts Wiring
oNo. Hydro Massage Tubs No. of Motors Total lip
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Hassachusetts General Laws
I have a current Liability Insurance Policy including Completed Operations Coverage or Its substantial
equivalent. YES® NO ❑ I have submitted valid proof of same to this office. YES[ 110 []
If you have checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE ] BOND ❑ 0T11ER ❑ (Please Specify)
Estimated Value of EIecCXical Work S 5000. WILL CALL
(Expiration ate
Work to Start Inspection Date Requested: Rough Final
Signed under the penalties of perjury:
FIRM NAME _•JAMES E. BUGIIANAN I?I.ECTRIC INC. Lic. N,,.A15616
Licensee JAMES E. BUCHANAN Signature LIC. NO. E32062
Address P.O. BOX 544 SUTTON MA 01590 Bus. Tel. No. 508-865-3335
Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee oe not have the insurance coverage or its sub-
stantfal equivalent as required by Itassachusetts GeneralL s, and that my signature on this permit
application waives this requirement. Owner Agent Please check one)
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c e 1 n. PERMIT FEE S L..V�.4-i
Signature of Owner or Agent�� T p hon