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N22 2 7 Date........... ..................
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,aORTI{
°�,•``°:°�"° TOWN OF NORTH ANDOVER
F A
PERMIT FOR WIRING
SACMUSE�
Thiscertifies that .......................:.....................................................................
has permission to perform ..�` �
t " ........................................................
l wiring in the building of....: ................ ........
..................................................
... ,North Andover,Mass.
....... Lic.No.'.x'. 5! 3..;:..... ............/ C �; -. :.�...........
Fee.............. ..... ....
ELECTRICAL INSPECTOR
` WHITE:Applicant CANARY: Building Dept. PINK:Treasurer
MA Lic#E39425
)Ov%c1 G. Kov�/Ch��
RESIDENTIAL.COMMERCIAL
(978)453-1794
22 Gertrude Ave.
Lowell,MA 01851
' — THECOMMOIV'6VF.4LTHOFMASSACh SE77S Office Use only
DEPARTNFIVTOFPUBLIC&4FM Pennit No.
BOARD OFMEPREVE7%TI0NREGMTI0AS527CNR 12* 5
Occupancy&Fees Checked
APPUCATTONFOR 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
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) S
Owner or Tenant Y 2 L
Owner's Address W : 1 (
Is this permit in conjunction with a building permit: Yes a No (Cheek Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps` Volts Overhead 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.ofTransforrners Total
07 KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
11 ground ound
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
Nolof 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 Local Municipal Other
Connections
No.of Water Heaters KW No.of No.of
Signs Bailasis
1 No.Hydro Massage Tubs No.of Motors Total HP
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i Telephone No. PERMIT FEE$�