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Home My WebLink AboutMiscellaneous - 80 BRADFORD STREET 4/30/2018 (2)N OOO W J 4005 Date ...... r... 1-16141LL.. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .................... J�.':;).c . ...... ............ has permission to perform ....... ......... (y. ........... wiring in the building of............ C ............. / ................................................. at .......... . .... ............... .North Andover, Mass. Fee.3...>.!.6�.... Lic. No.,,4.�.-'733 ........ .. e.. E, CTRICAL R Check # ar�ru�e«t oa �udlte Sa6ity BOARD OF FIRE PREVENTION REGULATIONS,527 CMR 12:00 Official Use Only Cr, Permit No. �J i Occupancy & Fee Checked . APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code 527 CMR 12:00 (Please Print in ink or type all information) DateU J 0-3 To the Ins a or of wires: Town of North Andover The undersigned applies for a permit to perform the rielect�rical work desjcribed bel Location (Street & Number F/ es I r`" e,4J S Owner or S Owner's Address Is this permit in conjunction with a building permit Yes ❑ No W,' (Check Appropriate Box) Purpose of Building 5 I'm Existing Service Volts Number of Feeders and Ampacity Location and Nature of Proposed Electrical Voits Overhead &/ Overhead 9 / Authorization No. 00 gn Undgmd ❑ No. of Meters (/ Undgmd ❑ No. of Meters OTHER: INSURANCE,G-OVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws Idea� ••di ent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = havezubmitte-dwalid proof of same to the Office YES= NO = If you have checked YE leg;W indic4te the type of c6vera,,ga by checking the appropriate box 06SURANCE = BOND = OTHER (Please Specify) A�l3. (Expiratipnifte) f=stima ed Value offi!ectriical Work$ Work to Start 4 Signed underthe FIRM NAME_ Inspection Date LIC. NO. - - IV B . Tel No. �71� G► �� Address Alt Tel. No. OWNER'S INSURANCE WAIVER: -I am ay�++,, re that th Ucen doe .not hayethe insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on`fhis permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ (Signature of Owner or Agent) Total No. of Lighting Outlets No. of Hot fuse No. of Transformers KVA Above ❑ In ❑ tQ'-J of Lighting Fixtures Swimming Poo; grnd ❑ gmd ❑ 1 Generators KVA No. of Emergency Lighting No. of Receptacles Outlets �b. of Switch Outlets No. of Oil Burners No of Gas Burners Battery Units FIRE ALARMS No. of Zone No. of Detection and Total No. of Ranges No of Air Cond Tons Initiating Devices Heat Total Total No. of Di sal No. Pumps Tons KW No. of Sounding Devices No./ of Self Contained No. of Dishwashers Space/Area Heating KW Detection/Sounding Devices ❑ Municipal ❑ Other No. of Dryers Heating Devices KW Local Connection No. of No. of Low Voltage No. of Water Heaters KW Signs Bailases Wiring No., Hydro Massage Tuds No. of Motors Total HP OTHER: INSURANCE,G-OVERAGE. Pursuant to the requiremen6ts of Massachusetts General Laws Idea� ••di ent Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent YES= NO = havezubmitte-dwalid proof of same to the Office YES= NO = If you have checked YE leg;W indic4te the type of c6vera,,ga by checking the appropriate box 06SURANCE = BOND = OTHER (Please Specify) A�l3. (Expiratipnifte) f=stima ed Value offi!ectriical Work$ Work to Start 4 Signed underthe FIRM NAME_ Inspection Date LIC. NO. - - IV B . Tel No. �71� G► �� Address Alt Tel. No. OWNER'S INSURANCE WAIVER: -I am ay�++,, re that th Ucen doe .not hayethe insurance coverage or its substantial equivalent as required by Massachusetts General Laws. And that my signature on`fhis permit application waives this requirement. Owner Agent (Please Check one) Telephone No. PERMITTEE $ (Signature of Owner or Agent) Date. a �... TOWN OF NORTH ANDOVER ,, �• °oma PERMIT FOR PLUMBING Co This certifies that ..� ...... V ... . Chas permission to perform . OAu ' `" vplumbbing in the buildings of ..e y. �. ? ^? ...... '`�. ....... . at .. [�.(... gjV`f c a`A .. .......... North Andover, Mass. Fee . da �/Y. Lic. No. jc- IW4.. PLUMBI G INSPECTOR Check # 5451 MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date ( / Building Location - Owners Name � JY' N 6 Permit # A 1 �Q/ rn , _ Amount Type of Occu anc ! r'�l!! Q-� oL f)v, New rl Renovation Replacement 0 --/Plans Submitted Yes ❑ No (Print or type)� Check one: Certificate Installing Company Name Mot ` ❑ Corp. Address 1 1 Partner. Business Telephone rm/Co. Name of Licensed Plumber: e type of insurance coverage by checking the appropriate box: Other type of indemnity ❑ Bond ❑ ;fed, have been made aware that the licensee of this application does not have any one of the above I hereby certify that all of the details and information I best�f my knowledge and that all plumbing work a50 compliance with all pertinent provisions of the Ma!sssacl By: Title City/Town APPROVED (OFFICE USE ONLY 11 1 I Ag t n (or n ed) i ve application are true and accurate to the er esued for this application will be in g an �f the General Laws. �e of P1 mb' g License d/.Journeyman cense um er Master ❑ • .i mood ' • ! • -„ r :• MMMOMMM��i�iii�� MOMMMMMMf7ArMMMMMMMM��iii ,_1MMWMWWMMMW ■WMWMMWMM MMMMM�� :e MMMWW0WWMMNWMMMNMWW MMM flea 142Z MWWMMMMMMNNM ==MWWM W.511181-6-TIUMMMMMMOMM MMM�� (Print or type)� Check one: Certificate Installing Company Name Mot ` ❑ Corp. Address 1 1 Partner. Business Telephone rm/Co. Name of Licensed Plumber: e type of insurance coverage by checking the appropriate box: Other type of indemnity ❑ Bond ❑ ;fed, have been made aware that the licensee of this application does not have any one of the above I hereby certify that all of the details and information I best�f my knowledge and that all plumbing work a50 compliance with all pertinent provisions of the Ma!sssacl By: Title City/Town APPROVED (OFFICE USE ONLY 11 1 I Ag t n (or n ed) i ve application are true and accurate to the er esued for this application will be in g an �f the General Laws. �e of P1 mb' g License d/.Journeyman cense um er Master ❑