HomeMy WebLinkAboutMiscellaneous - 11 FOULDS TERRACE 4/30/2018 �,,� _ � a_. .� _.. . -- _._�
Date..
N° 22006
3. ..... ....77.....
NORT,
°� '• '"a TOWN OF NORTH ANDOVER
° A
PERMIT FOR WIRING
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Thiscertifies that .. ..........................................................................................
has permission to perform ....!1.. �q�.e.....!...�`t <�P./........�:..F�
wiring in the building of......IV..A....!-±A...................................................
l at... ...... ............ ,North Andover,Mai
Fee......7..5........... Lic.No. 5 .................. ,i2 N1
• ELECTRICAL INSPECTOR
09 v� 03/16/ 12:29 75.U(r PAID
WHITE:Applicant CANARY:Building Dept. PINK:Treasurer
..� TAFC0AM0NWEALTH0FAf4M0YVS= Office Use o`
DE ARTMFN O PUBUCSAFM Permit No.
BOARD OFFMPREVEAW0NREGUTAT 0M-WCNR12-(110 —
kT4PNRAEWR
Occupancy&Fees Checked
PrcA�roFOR Pyr�o Povr c� WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSfS ELECTRICAL CODE,527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION)
Town of North Andovei To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location(Street 8c Number) // /-Dy�d�`S
Owner or Tenant 4,4okl er No d SP/rZ q %v�o/��✓
Owner's Address
Is this permit in conjunction with a building permit: Yes No r77r' (Check.Appropriate Box)
Purpose of Building yD//S P /01 5 Utility Authorization No.
Existing Service f,DO 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 la C -
No.of Lighting Outlets No,of H,p( Tubs No.of Transformers Total
i KVA
No.of Lighting Fixtures Swimming Pool Above Below Generators KVA
andg1:1round
No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units
No.of Switch Outlets
_ No.of Gas Bumers
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 Localo Municipal a Other
Connections
No.of Water Heaters KW No.of No.-of a
Signs Bailasis
No.►Hydro Massage Tubs No.of Motors Total HP
OTHER
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tomagetritsstiale4tivaiat YES NO a
Ihaw.aibmh mihdpoofofs8ne1othe0ffmYES L.J F-1. Ifjcuha�edtadcedYFS,pieaseatdic*th Nmcfcna bydrdargdr
INSURANCE [a BOND f7 0TI.m a (PS=spedY)
E#ationD&
EslirrmkdVakxdEb±ical Walk$ .
Work iDStat ht:acfionD*Regtre Ra# Firtai .
FIRM NAME C:17 / LlalO l�.' � eCt/—I"4 c L=WZga
Lbfflsee
BtsirmTeiNa 696 — 71.rf
Al Tel No. 1P U 126
OWNER'S INSURANCE WAIVER,Ianawat fAthe L isedwsnotthe inara>asmmWoritssitatiale#valatasre#adby?vlassadxEcusGffrdLaws
andtot myWn�reont ns p=nkTpficMcnwa kesthistewerZ t ,(
(Please check one) Owner F7 Agent
Telephone No. PERMIT FEE