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HomeMy WebLinkAboutMiscellaneous - 5 WENTWORTH AVENUE 4/30/2018Datel . .. .. ........ TOWN OF NORTH ANDOVER PERMIT FOR WIRING IL This certifies that ........... ..... e- -6 - / ................................... has permission to perform ........ ....... ? A -i ,— .......... wiring in the building of ........ ...................................... at ..... kl&A-7-W4021 .5,-- ..... ..................... . ... ............................ North Andover, Mass. Fee ... Lic. NJ...0.2.4?Aw ............. . . .. . ......... . 4LECTR-IcALLIN�SiP R Check # Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS 11cr111it No. Occupanc\ ind Fee Chcckud [Rev. 9 o`] lc;nr l 1a11k) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORM SII '.t-rrk to lie IxrTormed in ,Iaor.Llnce willl til \I;u,;Ichu elt, f lcctric.11 Code I \110. '•'- C-1,111 12.110 I'LE. ISE PRI:\Tl.�1AKORTYPE. ILL1.1Fl)RJ1.1TIOX, Date: (;/O766 Cih• or To1vn of: 'ru 111? I7.,1CL10r 0/ !f''irrS: 13y this .Ipplic;ttiun the undcrsi,lied �t�cs notice of his or hue intention to herturin the Jectrical ',\urk de_,crihed h0ow. Location (Street & Number) S Owner or Tenant /"I.- k -n e relephone No. Owner's Address scm�e Is this permit in conjunction with a building permit? YesNo © ❑ (Check :appropriate Box) P f B 'Id• Cj �' urpose o u► rng ingi _ 2r^. i-7 LAtXl lam_ Ltility Authorization No. Existing Service imps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: RU �M ��0, 1)_ecWcue- sm6V�s C_-7 C vIFlo en: /,;rs,;cr/, •.r.,a; ',!t11rc',i,) f :.timatud %'clue of Elcctric;ll Work: I \4 hull required by municipal polio.) \4ork to start: In: Fcction to be rcCluestud in .tCLORI nee with \IEC Rule it, and upon cunlplution. INS(- R4NCE COV ERA( -'E: t nlc:.+s wai%ed b) Ilse uwnel. no purnlit 101. the perlunnanc t>t lecu'i�al wt,rk Inay i uc Iu11 'hc ht:ell:;Cc' I)I'+:�.1!IC`.; Ill'OOt �,t h;lblll[� III;LII';Illl'C Illl;ll.ldlll'1 "Ct)Illl?Ietctl nnCr;111U11 �;i%alt';1'tl' �:1' IC; ' I,II"�lalltllll tlllll�.11l'ill. ' !1� � IIIICI".I' i1e'.I 'a'I'II tICt. Ih;lt Ich co,. _r;l",e I:. IIl it �l';: C.:Illd I1;IJ t' Illhlli'Ci I`.rnUt Ot ',Lll:'IC CU II)e I'CI'l11ll 1:'.11111' _ I R -� _ I II i'_..I '^•'i/y !;f�.F'�.'/' fil Its `A.'111 .lr/';r'.. '/r 'ti 1l�+rr•j:tr}. .'t'!/'�1N . r U/ �L ;';,� - Address' ..l� G A^Q-_�� �c1 dos, T.A. •.:o.. CCLII'ItY b .[c'll t_ ,'ntl'at l01` I.tt.Jn'•C fetllUr_ l f6r it l:: v,( I!<, i"'Ppl CIINC clitl'f ht IICI'll;t IlUlllber here: _ •3WN!FR S INS1-RA.`•( E 'VV \ I V ER: I •un o.w Ire that Ulc l,i;.:n.et; /,... r, ! /;r;lr the iI:Ib;Lt, nl:,ut'nna_ 1 :11-1 e n, r r:;!I:. ctluirud h\ law. 13\ I11\. ;,anuture bcI'vlt,. I her�bv '.r,li,e thi:, r�quirunult. I .+m lht_ (,_heck r,nc) ❑ :wnvr ❑ L �;l r' . 1' .;, Owner,'A;;ent • .,•,, -.. 1,,.i ,.; i unrm »F! lubit.' m(a r, t' lr;.uli. r!;'Y iih' !, i.1 ;i ;•il' ri/ i'. No. of Recessed Luminaires No. of Ceil.-Susp. (Paddle) Fans 0.0 Total Transformers KVA No. of Luminaire Outlets No. of Hot'Tubs Generators KVA No. of Luminaires- . o Swimmin Pool ,above ❑ In- ❑ . 0.0 mergency Lighting 4rnd• grrcd, t3attcry !'nits No. of Receptacle Outlets �S No. of Oil Burners FIRE ALARMS �No. of Zones No. of Switches 15 No. of Gas Burners No• of Detection and Initiatin Devices No. of Ranges No. of ,lir Cond.Tons) No, of Alerting Devices No, of Waste Disposers Heat Pump Number Tons KW 'No. of Self -Contained Totals: _Detrction!.Verting Devices Nj o. of Dishwashers Space/:urea Heating KW Local ❑ Municipal F-1Other�— Connection No. of Dryers Heating Appliancesr * h4Y Jecui(y Systems: No. of WaterNo, of bevices or Equivalent No. of No. f Heaters KW oData Wiring: Signs Ballasts No, of Devices or Equivalent No. ydromass-ige BathtubsNo, of Motors Total HP telecommunications Wiring: No, of Devices or Ei uivalent vIFlo en: /,;rs,;cr/, •.r.,a; ',!t11rc',i,) f :.timatud %'clue of Elcctric;ll Work: I \4 hull required by municipal polio.) \4ork to start: In: Fcction to be rcCluestud in .tCLORI nee with \IEC Rule it, and upon cunlplution. INS(- R4NCE COV ERA( -'E: t nlc:.+s wai%ed b) Ilse uwnel. no purnlit 101. the perlunnanc t>t lecu'i�al wt,rk Inay i uc Iu11 'hc ht:ell:;Cc' I)I'+:�.1!IC`.; Ill'OOt �,t h;lblll[� III;LII';Illl'C Illl;ll.ldlll'1 "Ct)Illl?Ietctl nnCr;111U11 �;i%alt';1'tl' �:1' IC; ' I,II"�lalltllll tlllll�.11l'ill. ' !1� � IIIICI".I' i1e'.I 'a'I'II tICt. Ih;lt Ich co,. _r;l",e I:. IIl it �l';: C.:Illd I1;IJ t' Illhlli'Ci I`.rnUt Ot ',Lll:'IC CU II)e I'CI'l11ll 1:'.11111' _ I R -� _ I II i'_..I '^•'i/y !;f�.F'�.'/' fil Its `A.'111 .lr/';r'.. '/r 'ti 1l�+rr•j:tr}. .'t'!/'�1N . r U/ �L ;';,� - Address' ..l� G A^Q-_�� �c1 dos, T.A. •.:o.. CCLII'ItY b .[c'll t_ ,'ntl'at l01` I.tt.Jn'•C fetllUr_ l f6r it l:: v,( I!<, i"'Ppl CIINC clitl'f ht IICI'll;t IlUlllber here: _ •3WN!FR S INS1-RA.`•( E 'VV \ I V ER: I •un o.w Ire that Ulc l,i;.:n.et; /,... r, ! /;r;lr the iI:Ib;Lt, nl:,ut'nna_ 1 :11-1 e n, r r:;!I:. ctluirud h\ law. 13\ I11\. ;,anuture bcI'vlt,. I her�bv '.r,li,e thi:, r�quirunult. I .+m lht_ (,_heck r,nc) ❑ :wnvr ❑ L �;l r' . 1' .;, Owner,'A;;ent Date e l of O`tNOR7 .,�O ."TOWN OF,-N'ORTH ANDOVER 0 14 `ar:PFEMiT FOR PLUMBING $� �•no I`tq ' ,SSACMus F� - 'ti This certifies that '�. !��` �..� ..................... has permission to perform .... ............ . plumbing in the buildings of ..C.. !�� e?.............. . at ....3R... .......... ! .. ,North Andover, Mass. Fee. ...Lic. No. -3..1(.9. ....... .... l�'r-t .rte ...... . PLUMBING INSPE TOR Check 6982 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Building Location Owners Name �/j % 1 Date � r� L / l G ` Permit # Amount Z Type of Occupancy New Renovation r Replacement ❑ Plans Submitted Yes No FIXT41RES - • J 117/ • / • .J (Print or type), G Check one: Certificate Installing Com any NameKd( ' ' / ® Corp. Address IS Partner. . L Business ep one Co. a Name of Licensed Plumber; Insurance Coverage: Indicate the t3/pe of insurance coverage by checking the appropriate box: Liability insurance policy Other type of indemnityF-1Bond ❑ Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above three insurance ignature Owner 11 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 erfo d under Permit Issued for this application will be in compliance with all pertinent provisions of the Massach s St Pl b' de an ar 14 t neral Laws. By: igna re o icense um er pe ofbi g License Title City/Town rcense 1911m er Master Journeyman ❑ APPROVED (OFFICE USE ONLY