HomeMy WebLinkAboutMiscellaneous - 545 BOXFORD STREET 4/30/2018 (2) 545 BOXFORD STREET
2101105.G0026-0000.0
N2 3 '� Date..... ... ....�...
NORT1,
TOWN OF—NORTH ANDOVER
PERMIT FOR"WIRING
��SSACHUAL S t�
/0/? Ll/, I/ C �� C..i.�.........
This certifies that ........................................................................... ...
has permission to perform ..... � f 4 �' '�
wiring in the building of......... .............................................
`f tS . � �>>o .... ,,..�Z,
NoAndo/ve'r,,Mas9'.
VC�.........�................. .. .Fee..,..!......... Ltc.No. ..... ?!,��
E[,&RiC INSP R
Check # /
WHITE: Applicant CANARY: Building Dept. PINK:Treasurer
Jim W1VbV1U1Vrrrd%L1ClUri Vlfia34ILn1JA3Cl1J 111UCVbC Only
DEPARTAfiM0FPUBUCS9FE7Y Permit No.
BOARD OFFMPREVE WONREGM4770AN S27CMR 12.OI D 4a
Occupancy&Fees Checked
UVPPLICATIONFOR PERMIT TO PWORMaE=CAL WO
ALL WORK TO BE PERFORMED IN ACCORDANCE WITHTHE MASSACHUSSTS ELECTRICAL CODE,527 CMR 12:00
(PLEASE.PRINT IN INK OR-TYPE ALL INFORMATION) Date G
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electry'�al work described below.
Location(Street&Number) tl'
Owner or Tenant iu
Owner's Address
Is this permit in conjunction with a building permit: Yes No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps�/.� Volts Overhead a Underground No.of Meters
New Service Amps / Volts Overhead [= Underground No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work
No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total
KVA
No.lighting Fixtures Swimming Pool Above El Below Generators KVA
ground 6ound
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
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 LocalMunicipal Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
No.Hydr(�Massage Tubs No.of Motors Total HP
OTHER � D r cf�e_ V,UMV d ly -C Y tJ lu r G a l�Q G liL
Un,cl,'N
htstxat,oeCo�PinsualYblhe �GaIaalLaFvs
Ihma=utLiajkhstr =P,Obcyitrhxirttg CotetaFcrilssi ecgrivalait YES NO
lhawstbmJMdvalidprtxfbfsmm1oftOlSmYES NO r7 ffjcuhmedwdWYES,pkaseadaiethe0cfwvw4pbycheckirg1he
II�CJRAlV BOND E3 OTHR M nascspaafy) 0
Exptrafim Ule
Estim+tadVakleofFlWhnl Wak$S100
WarktDS41t hWchcnD*RecgxsWd Rough FM
signed tatder�ie l?�alties c�f'pajtay.
FIRMNAME I�oa�seNa
�, Lioalsee��•.% � LitxnseNo
'/
BuSirm Te1.Na 4,0?-C4. ,4�QV�j---+-
)eO. 4OX AITe111
OWNERS INS[IRANCEWANFR;Iamawmethatthsli=sedoes theitstra oaeragleoritssuts�t>liale d�tec}madbyMamdaset�CetealL
and fatmysig�ttmmft panftappl�ahmwai�es dis mw*wrent
(Please check one) Owner a Agent L....t
�""—`+ Telephone No. PERMIT FEE$