HomeMy WebLinkAboutMiscellaneous - 7 MILLPOND 4/30/2018 7 MILLPOND
'- - - 210/095.A-0007-0000.0
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Permit No. _ /✓/
oft�i _
- oauf� a Fee t�ledtsd
BOARD OF FIRE PREVENTION REGULATIONS 527 CUR 1299
3rso
APPLICATION FOR PERMIT TO' PERFORM ELECTRICAL"WORK
-All work to be performe_
ed in accordancwitlt the Massactusetts E.tectricai Code.527 CM 1290. _
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION _ Date '
(X* or Town of NORTH ANDOVER To the Inspector of Wires:
- The udersigned applies for a permit
to perform the�/�electrical work described below.
Location (Street & Number) 61, m i l l OY)d C0►)t�a)
Owner or Tenant 13i I
Cwner's Address
Is ,his permit in coniunctian with a duildirg =ermit: Yes _ No ✓ (Check Appropriate Box)
Purecse ct Suiiding Utility Auttscrizstion No.
Existing Service Amps _1 vcits Cverread Uncgrna i
No_ of Meters
f- n Q
� New Service Amps _J !acts Cvertread _ U d
5and No. of Meters
Numoer of Feeders and Ampacity
Location and Nature at Proposed E:ec:ncai Wcrx
Replace NCS VM - d -
ett0)red 6qof 0-0-
` � Tatat
No. at Lgn;ing Cut:ets No. :t -as j No. :r :ranstormers KVA
=cve_ :n- _
— g.vir'-:rg _ - Generatcrs KVA
No. :)r _gnrng r,xtures -c. _-a
_ _ . _
No. at fl:nergenc/ Ugnung
No. at Receotac:e Cutlets No. at Cil Surners I 3arery units
Na. at Switc Cutlets No. v "as Somers FIR=-ALARMS No.of Zones �
•otat No. ct --election arc j
No. at Ranges I Na :: A.r Cznc. yrs I Initialing Cevices I
wear stat a:at
No. -at Ciseosats `Ve•=i -=s :ons K':r I No- cr Seunaing Cevices i
No. :: ;alt Cantainea
No. at --isnwasners ==ace,Area r ea.
:rg C.v I --a:ecc:cnrSouncing Cevices i
_ae3i — Munie:nai Ctner
No. at Crvers --!ea:-.ng �avices KIN � Cannec::on '_
No_ at No. :: Law •:phage I
No. at water Heaters KW i Signs 3a:las:s
wirnc I
i
No. Hycro Massage Twos No. ct %tetcrs •—alai ^?
C
INSL1PANCc Cw EPAGE: Pursuant :a :na recL':refrer.:S aassacn.Cserts y^4rerat Laws
I nave a current Laetiity Insurance Pauc/ !nG_c:rtg -=zr-_._teC C=erasens Coverage or its s_=s :annal ecwvatent. YES _ NO
nave suCmirtea vatic proof at same :a :rte Ctfics- Y_: _ NC y u :rave cnec:tec "E_. :tease inc tate :he type at coverage =v
Checking the accrocnate oox.
INSURANCE = 3CN0 = OTHEA = ;Please S=ec:�/) (Expiration Cate,
_s:tmatea Valu at Htectncal work S p/y���F'nal
Warx to Stats bee• 'p- tnseec=cn Cam Racues:ee: Raugn r�G ((((JJJJ
i n n er:rte Penalties of p I
Sgecuc
_ UC. No.
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Q� fs• a�IS ,�f;�rl C ---�—
RM NAM
L:eense•
3`J Av s S.'g-art_m LIC_ NO. E
/�/f^Q (/,�,; Bus. Tal. No.
P li•/L��SIt7 Alt. .e1. No.
AGCress `t'
CWNEa•S INSUAANCF WAIVE: I am aware that :e Lcensee aces :-ct nave :re insurance ewerage or its suostanttal eatrrvalent as re-
Cuifec ny Manzaicnuserts General Laws, ana trtat MY s:gna:ure an :^.ts „ern:tt acoticatlan waives trits reouirement. Own Agent
(Please crecx one? / G
7e.eon >"arte No. PERMIT F371,5
of Owner or Agonrl t�5o5
�N° 1 317 Date...M. .. ` T
l t �aORTN�
"O0 TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
CHU
This certifies that ...... f1 S ` f, 2 �-.
�.......... ..�.....s............. ............................
1
has permission to perform ...... ........ �7.................
wiring in the building of........ .t.R. } .. '���.
. ..... .... ....................................
P��
at......7...........���....... .......q......�.................. ,North Andover,Mass.
Fee.../ ..�l L! Lic.No.1.,7,Yi...............................................................
+ ` ELECTRICAL INSPECTOR
(J 3 1$/02/97 12:13 15.00 PAID
WHITE:Applicant CANARY: Building Dept. PINK:Treasurer