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HomeMy WebLinkAboutMiscellaneous - 75 SAUNDERS STREET 4/30/2018 (2)N Q O Date.....� .!. .. U �.. NORTH 3?°;tom`' ;°"° TOWN OF NORTH ANDOVER ' PERMIT FOR WIRING his CHUS This certifies that . �.�`^ 5 m %" ........................`'................................................. has permission to perform � wiring in the building of ... . �F43 .] t ` n �' ............................................................. A 32 5gU'VdQQvS 011 at....................................................................... , North Andover, Mass. Fee....??5.� . Lic. No � �'Yf£.......................................................... d. (�J , r 416;1- ....... -- ELECTRICAL INSPECTOR Check # g 7 S5:�_ .1 THECOMNIOINYVEALTHOF SACHUSETlS Office Use only DEPARTMENTOFPLIB S4F= �� aS Permit No. BOARDOFFIREPREVEMON ONS527CMR120 b Occupancy & Fees Checked APPLICA77ONFOR PE T PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE W H T MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00%�/-- (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date / Town of North Andover The undersigned applies for a permit to perform the electrical Wit: described below. Location (Street 6 Owner or Tenant Owner's Address Is this permit in conjunction with a building permit: Yes M No ! (Check Appropriate Box) To the Inspector of Wires: Purpose of Building Utility Authorization No. _ Existing Service .3U Amps / Volts Overhead r--,Knderground No. of Meters New Service Amps / Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work yk-e. j No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above ED Below Generators KVA round ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal r—'—J Other No. of Dryers Heating Devices KW Connections No. of Water Heaters KW t No. of No. of Signs Bailasis I To. Hydro Massage Tubs No. of Motors Total HP OTHER- karanceCove<age. PlumarttathemgmmeMofNl%mdiumGenedLaws IhawaamattLiabkhmm=Pokyinchxla gComple&' CovaageoritsW%wntalW,ala>t YES © NO Ihawsubniirodvalidplo0fofsantetotheOffm YES El If}ouhawchedWYES,ple mdc& he wofcovaageby cfteda<tgthe box �J INSURANCE BOND r7 011JER (Please speafy) a / 3 /o l Wodcrosrart kEpectionDaleRoWested Rough signedunderlT unaltiesofperjury: FIRMNAME EMiaWVa1uecfEbchical Woik $ Final LxemeNo. Ii�mae t lfd'►vNA/�_ lyf Sigrtaaue Lio wNo (Y B&nmTel No. - Ar� hPcr 4 Ci" kr 'S C-G-� c P _. f h 4 Alt Tel No O'f l 'SINSURANCEWAIVEI;IamawarethattheLicatsedoesnothavetheinmmceoovwd�poritsabslantialegmvalentasmquaedbyMamduc,etGataalLaws arylthatmysigtiahuecnthispe mitapphcarialwaivesthisregstirerrtatt (Please check one) Owner 1:3 Agent Telephone No. PERMIT FEE $ 13S— signature of Owner or Agent