Loading...
The URL can be used to link to this page
Your browser does not support the video tag.
Home
My WebLink
About
Miscellaneous - 84 PUTNAM ROAD 4/30/2018
Date . �r.l� .�.1.ji....................... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION � n This certifies that Hu 1 �, �� . d . ........................................................... has permission for gas installation�/,ep(u - 15 Vy, ................................................ ! v in the buildin�s of ..... i�^.�..l. Qua. ^ V� ..�......................... .................................................................................................... . at ....... ' ...............................,North Andover, Mass. Fee.,5j ...... Lic. No.513-°..Hd......i...... GASINSPECTOR Check # Cl &S I.) 0J7Jto MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK CITY I North Andover I MA DATE 512212014 41RMIT #� l7� JOBSITE ADDRESS 184 Putnam Rd OWNER'S NAME (V_)0rlb,,,,, GOWNER ADDRESS I Same I TEL - IFAX(� TYPE OR OCCUPANCY TYPE COMMERCIAL❑ EDUCATIONAL ❑ RESIDENTIAL❑ PRINT CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT: ® PLANS SUBMITTED: YES❑ NO[] APPLIANCES -1 FLOORS BSM 1 1 2 3 4 5 6 7 8 9 10 11 12 13 14 BOILER BOOSTER CONVERSION BURNER COOK STOVE DIRECT VENT HEATER DRYER _ FIREPLACE FRYOLATOR FURNACE GENERATOR GRILLE INFRARED HEATER LABORATORY COCKS MAKEUP AIR UNIT OVEN POOL HEATER ROOM I SPACE HEATER ROOF TOP UNIT TEST UNIT HEATER UNVENTED ROOM HEATER _ WATER HEATER q OTHER ----------- --------------------- Replace 1 Gas Meter x INSURANCE COVERAGE I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES Q NO I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW LIABILITY INSURANCE POLICY F71 OTHER TYPE INDEMNITY ® BOND OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the Massachusetts General Laws, and that my signature on this permit application waives this requirement. CHECK ONE ONLY: OWNER ® AGENT SIGNATURE OF OWNER OR AGENT I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under the permit issued for this application will be in c liance with all Pertinent provision of the Massachusetts State Plumbing Code and Chapter 142 of the General Laws. PLUM BER-GASF ITTER NAMEJose h Marino LICENSE # 8736 SI A URE MP ED MGF ❑ JP ❑ JGF ❑ LPGI ® CORPORATION Ej# 3285C PARTN SHIPEI #= LLC ®# COMPANY NAME: RH White Construction Co ADDRESS 141 Central St CITY I Auburn STATE MA IZIPI01501 TEL508 832-3295 FAX 508-926-4347 CELL 508-832 4614 EMAILLJMarino@RHWhite.com W F O z z 0 H U W Q+ rA z z PJ a Z ❑ o d❑ �- w � ~ w o Wo H a :a. z u W3 v, cn W > a a W LU d W N a zz a d a PLO0.0 � U x J F d a � w x w LL W F O z z 0 F+ U N W p, z 0-0 Q x 0 x • ipj�ufiS''„ .::� `: '.' a1R}8f161S�r ... ilt v ,� •. ::i'�ti i 41. � i .. '�i•f � � {� � � f • �M . „cam:•.: ..y,�•• q.,.rt' _tp�'.. •. '•:'.•.'� _.,!� ` ' :c.'•:, .:,•. µpi..}: :h:Y•. .,L•s .n:• �::-jki+ p{i'•' ��ti c^` .th;f ,! 's.. 1�5 A. ,r^ril. ,`,t r: ,t; .•fn�Ilrni i+i!`'• ^ar ,�'',. rfr+' :n:-j• Uri i hr 4; I+"!(�. •`t,,�-c:t;: �. :P; i:iC!')'):,.nrt L''c zo�?t5.� �, �ry •t. ti` 4..•...� t�s`t i •,;t ; l:' . ittl :;i'. } i a:::lr, c i •.iit .;:i.. ; • ii �:.:il: rl{ . ?VA-; S e 'e'S-,'f, ;LL'i'`7L' '�,Rt :' :.i! ` ^•! i�?'.1�:;; i ,If 1 "�: .y •;r j: 7',li '.`, :. tf.. ii4ijr.:: )-�r!i:Q :. :v. i':•, ;C',; :. .. �R fy - . d . L O ^-'m ' cA O 0== .o a 4.4 Zd LU LD LKS u~j :..: .. LU - MU) Min:,:.::, 1 -„'�u,.,,. `��• ��yy Lu�,tn ;::Z.:: ,iuu,, ;nt {. �j ".'`f�•L.',�:: �(/3�i•n.�il-t� .�"+'i }.• 'd>': �,('•': I,u 4i;1 tJd;��. ;';:+•. 1':rQ;�:a '' , r� try;. ...... � •., t.., , �A5 "R::.�'” r'CL•'iai'•�Lfij',"•:'r.�;. :.�ti 'L�itiJi.i4,•r:F '`:.L�:d'f,J�!Lgy'i;a` `i,(;,);'i;il �i:'1 '�--�''; ,�t ,�.: {��•` :, u.'1{:.'•.r' ;s n'tut::�`Si•� •� tjl: �4ti{eu.°?LL•,y.t•tiY, a'�'' Ql4• .,,: I �Lq•... :; tt l r• �.i. err ', . r�� �f•'�fi;y+.�'i•y.'r 'a:+j : ...�..,,Nz„ i;7t:.,..1:�Cor{ �.: ,�"'. ''i:' r`•yi'.",:�,li(`-,;l��j:fGF�':f:d"ai;i.!%ri.rl'1�%rn�, +.�---- CERTIFICATE OF LIABILITY( INSURANCE Page 1 of 1 [TZ %29/20 31 THIS CERTIFICATE IS ISSUED AS A MATTER OF INFORMATION ONLYAND CONFERS NO RIGHTS UPON THE CERTIFICATE HOLDER. THIS CE Do DOES NOT AFFIRMATIVELY OR NEGATIVELY AMEND, EXTEND OR ALTER THE COVERAGE AFFORDED BY THE POLICIES BELOW, THIS CERTIFICATE OF INSURANCE DOES NOT CONSTITUTE A CONTRACT BETWEEN THE ISSUING INSURER(S), AUTHORIZED REPRESENTATIVE OR PRODUCER, AND THE CERTIFICATE HOLDER. IMPORTANT: If the certificate holder is an ADDITIONAL INSURED, the policy(ies)must be endorsed. If SUBROGATION IS WAIVED, subject to the terms and conditions of the policy, certain policies may require an endorsement. A statement on this certificate does notconferrlghts to the certificate holder in lieu of such endorsement(s), williv of Maeaachusette, Inc. c/o 26 C"I ury B1vA. P. 0. Box 305191 Naslsville, TN 37230-5191 R. R. White Con5truoti,on Company, Inc. 41 Central Street P. 0. Box 257 Auburn, MA 01501 GFL s� mn,v nrrv,�umu y V YCrtHl9C NAIL rt INSURERA:The Cbaxto. Oak Fixe Insuranog Company 25615-001 INSURERS:TravQ1nr9 Property Casualty Cor}pany of Am 25674-003 INSURER C: National Union Firg Iaauranco Ccmpany of 19445-001 INSURERD; Travelera inda=jty Company 25659-001 .,...�..z.��u ttrcl II-IUAIt NUMUER:20187680 REVISION NUMBER; THIS IS TO CERTIFY THAT THE POLICIES OF INSURANCE LISTED BELOW HAVE BEEN ISSUED TO THE INSURED NAMED ABOVE FOR THE POLICY PERIOD INDICATED. NOTWITHSTANDING ANY REQUIREMENT. TERM OR CONDITION OF ANY CONTRACT OR OTHER DOCUMENT WITH RESPECT TO WHICH THIS CERTIFICATE MAY BE ISSUED OR MAY PERTAIN. THE INSURANCE AFFORDED BY THE POLICIES DESCRIBED HEREIN IS SUBJECT TO ALL THE TERMS, EXCLUSIONS AND CONDITIONS OF SUCH POLICIES. LIMITS SHOWN MAY HAVE BEEN REDUCED BY PAID CLAIMS. A GENEKALLIABILITY X COMMERCIAL GENERAL LIABII.ITY CLAIMS -MADE OCCUR GEN'LAGGREGATF LIMITAPPLIES PER; POLICY PRO LOC B AUTOMOBILE LIABILITY X ANYAUTO AUT08 ALINED AUTOS X HIREDAUTOS X NON -OWNED AUTOS X Co Ded X Cv11 Ded 0500 C UMBRELLA LIAR OCCUR X BXCEaa LIAR CLAIMS -MAGE DED $ RETENTIONZ 10.000 D WORKERS COMPENSATION AND EMPLOYERS' LIABILITY D ANVPROPRIETORIPARTNFRIEXECUTIVE N(A YLN OFFICER/MEMBER EXCLUDED? belew Evidence of Inmuxance VTC20co 977X9948-13 19/1/2013 '9/1/2014 1EACM VTJCAP 977K955A-13 19/1/20x3 19/1/2014 838766140 9/1/2013 19/1/2014 VTRRUB 920SA105-13 19/1/207.3 19/1/2014 0g VTC2XUB A2A71A-13 9/3./2013 9/1./2014 Bosco MED W..NERALAGGREGATE PRODUCTS-CoMPIOPj 2,000,000 BODILY INJURY(Perpemon) Is I BODILY INJURY(Peracoldent) E.L.EACHACOIDENT s 1,000,00() E.L.DI0EA9E-EAEMPLOYEE S 1, 000, 000 El. DISEASE- POLICY LIMIT $ 1,000,000 SHOULD ANY OF THE ABOVE DESCRIBED POLICIES BE CANCELLED BEFORE THE EXPIRATION DATE THEREOF, NOTICE WILL BE DELIVERED IN ACCORDANCE WITH THE POLICY PROVISIONS, AUTHORILIM REPaESENTATNE C011:4197604 TP131694012 Cert -2'2"680 ©1988-2010ACORDCORPORATIONAllrightsreserved. ,CORD 25 (2010105) The ACORD name and logo are registered marks of ACORD This certifies that has permission to perform ................. wiring in the building of X.-// .....! • ..... .. _ .... . at.. • • Gam. •�t��%L"' , North Andover, ss. Fey .A�'o� . Lic. No t )7?7JK ELECTRICAL INSPE TOR Check # 1 `i 0 2 9 i r t Commonwsald o` /Ylamacl udot h Official Use Only 2%% Permit No. 119 10Parfmod 013ire S*Mkod Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07) leaveblank r APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: Auc,ua L ice, a o a a City orl'own of: ,fklh A_dcWc,- f N To lire Inspector o Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) Ty putnc m tt& Owner• or Tenant Sg&.10 ScftgWst Telephone No. (p;)A to -6"0 Owner's Address Sams? as ahece Is this permit in conjunction with a building permit? Yes ❑✓ No ❑ (Check Appropriate Box) Purpose of Building eels Utility Authorization No. Existing Service aOO Amps Qw / ago Volts Overhead ❑ Undgrd [0 No. of Meters t New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Annpacity Location and Nature of Proposed Electrical /Wtork: ��� =/ un�e� G0E0o(l+,a c FO iGtter1� 5.ay h"D 0C 0 ! .1 . at ACL- flier No. of Recessed Luminaires No. of CcIl Susp. (Paddle) Fans o. of ota Transformers IKVA No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑ n- El rnd. rnd. o. o Emergency Lighting Batter Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners o. o etcc on an Initlathin Devices No. of Ranges No. of Air Conti. Tons No. of Alerting Devices No. of Waste Disposers eat Pump Totals: -gl ...-er„ .. ons ..................................._............ o. oSelf-Contained Detection/Alertine Devices No. of Dishwashers Space/Arca Renting KW _ Local ❑ un c pa El Other Connection No. of Dryers Iienting Appliances KW ecur tyys ems: No. of Devices or E uivalent No. of Water Heaters KW o. oo. o Signs Ballasts Data Wiring: No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP a ecomrnun ca onsr n No. of Devices or Equivalent OTHER: Attach additional detail iirdesired, or as required by the Inspector of litinns. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Star•t:_A J, , __ Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the perfonnance of electrical work mtiy issue unless the licensee provides proof•of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office. C•IIfCKONE: INSURANCE N 130ND ❑ OTI-IGIt ❑ (Specify:) I certify, under the ains and penalties of perjury; Ilset the information on this application is wend nd complete. FIRM NAME: r r LiC. NO.: a051 t Licensee: _Signature LIC. NO.:.21 e -7-xK ('//'applicable, ewer "exempt" in tlfc license number rine./ Buts. 'fel. No.-.J—Jim. � Address: 4,. c1_;v� fie. -S�a► .t�uclrmQt , �` _Ql sem . Alt. Tel. No.:-MTK *Per M.G.L. c. 117, s. 57-6I, security rk requires Department o ublic Safety "S" License: Lie. No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insur-ance coverage normally required by law. By my signature below, I hereby waive this requirement. i am the (check one) ❑ owner ❑ owner's agent. Owner/Agent Signature _ r __ ____ —'Telephone No. �_ _�j PERMIT Fr, r,.: $ 1� r �k `o- �s �Z Al Murphy, Peter From: Sent: To: Cc: Subject: To whom it may concern, Matt Marham 1ramarkham@solarcity.com] Thursday, October 18, 2012 8:24 AM Murphy, Peter Nolan Richardson Electrical permit ammendment 1, Matthew Markham, have recently moved from my position as an install crew leader to a new position as a project manager. I will no longer be the electrician on site installing solar PV arrays. Please remove my name for the electrical permit for Finn, Shawn of 272 Bridges Lane, and any other electrical permits that have been pulled in my name, as it will be necessary for a different crew leader to perform the installs at each residence. Thank you, Matt Matt Markham I Project Manager I SolarCity I T:774-258-8505 I mmarkham@solarcity.com I www.solarcity.com Please note the Massachusetts Secretary of State's office has determined that most emails to and from municipal offices and officials are public records. For more information please refer to: hftp://www.sec.state.ma.us/ore/preidx.htm. Please consider the environment before printing this email. -9t, 04t*�r- 0L=--gM'r--1 Ra Date.. IV-: Ir -/z I10IL� TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ... 5Q 4-ew. has permission to perform ...,�. wiring in the/building of ......4!L`.8. �' !.... , , , , , , , at.. /"l/ /. !!!l!I, ef,North Andover, Mass. Fee ../Z .' '9-Lic. No..1,4 ..........�G!!// ELECTRICAL INSPECTOR Check # i i Z7 /// 11147 A r. �-\ C.o,nnwntreaUh o� ///assachu�e�fe - - -rh �oparEmeni o��tira sQ.uicw BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. 1 6 L4-7 Occupancy and Fee Checked [Rcv. 1/071 leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC). 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: a b r 10laota City or Town of: wcor�An And n r To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location (Street & Number) $ 4 putt team 1R0t1_cJ _ Owner or Tenant gc,tSo n Sengl[Ij-k Telephone No. (,i 2ya- U40 Owner's Address Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box) Purpose of Building 6ACLC 00 fte.ls Utility Authorization No. Existing Service 1('D Amps J, -k0, QLM Volts Overhead ❑ Undgrd [K( No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: c..t{Suck ?VVA611n(�A c (PV) �T4S_fcrYt r{ecl 5,0L) KW S.i_ L. Comnletion ofthe following table may be rs,aived by the Inspector of (fires. No. of Recessed Luminaires No. of Ceil: Susp. (Paddle) Fans To Tota Transformers KVA Tr No. of Luminaire Outlets No. of Hot Tubs Generators KVA No. of Luminaires Swimming Pool Above ❑In- ❑ rnd. grnd. o. of Emergency Lignting Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. o Detention and Initiating Devices No. of Ranges g No. of Air Cond. Tota Tons No. of Alerting Devices No. of Waste Disposers Heat Pump umber .... .............................._ Tons KW ...._................. No. of Self -Contained p Totals:.._ Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑ Other Cyyonnection of Dryers Heating Appliances KW steNo. SecNo f Devices or Equivalent No. of Water KW No. of No. of Data Wiring: Heaters Signs Ballasts No. of Devices or E uivalent No. Hydromassage Bathtubs No. of Motors Total HP a No of Deviatto r trial: eat No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 471 ?5'0 (When required by municipal policy.) Work to Start: A, S. A . P Inspections to be requested in accordance with MEC Rule 10, and upon completion. INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including "completed operation" coverage or its substantial equivalent. The undersigned certifies that such cov age is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND ❑ OTHER ❑ (Spcify:) I certify, under the pains and penalties of perjttrp, that Nie inform on on I/* lication is true and complete. FIRM NAME: t LIC. NO.:iAO5•71 A Licensee: (�t4�1o5 1� ILLl� Signatu LIC. NO.::Sf32.t,5 E (If applicable, eater "exempt "in the license number line.)Bus. Tel. No.' 91 9)q96 -(.M Address: 14 St.• 1 un, E f a - NI d!7 Alt. Tel. No.: *Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Sa ety "S" License: Lie. No, OWNER'S INSURANCE WAIVER: I am aware that the Licensee doer not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner ❑ owner's a eat. Owner/Agent PERMIT FEE: $ SignatureturaTelephone No. _J r' - The eotnmt onivealth of Massachusetts Print Form fn Department of Industrial Accidents lid Office of Investigations I Congress Street, Suite 100 y Boston, MA 02114-2017 www.ntass.gov/dia Workers' Compensation Insurance Affidavit: Builders/Contractors/Electricians/Plumbers _Applicant Information Please Print Legibly Name (BusinesslOrganizatiot>rindividual): SolarClty Corporation Address:3055 Clearview Way VQII IVIQl6V, V!l J-VTVL none P:VJV vuoJ 1 VU Are you an employer? Check the appropriate box: Type of project (required): 1. ©✓ I am a employer with 1500 . 4. E] i am a general contractor and I 6 New construction employees (full and/or part-time).* have hired the sub -contractors 2. ❑ I am a sole proprietor or partner- listed on the attached sheet. 7. ❑ Remodeling ship and have no employees These sub -contractors have g• [J Demolition working for me in any capacity. employees and have workers' 9. ❑ Building addition [No workers' comp. insurance required.] comp. insurance.$ 5.0 We are a corporation and its 10.❑ Electrical repairs or additions 3. [:11 am a homeowner doing all work officers have exercised their 11.0 Plumbing repairs or additions myself [No workers' comp. right of exemption per MGL 12.[:] Roof repairs insurance required.] t c. 152, § 1(4), and we have no 13.H✓ OtherSolar Installation employees. [No workers comp, insurance required.] *Any applicant that checks box 41 must also fill out the section below showing their workers' compensation policy information. t Homeowners who submit this affidavit indicating they arc doing all work and then hire outside contractors must submit a new affidavit indicating such. tContractors that check this box must attached an additional sheet showing the name of the subcontractors and state whether or not those entities have employees. If the sub -contractors have employees, they must provide their workers' comp. policy number. I am an employer that is providing workers' compensation insurance for my employees. Below is the policy and job site information. Insurance Company Name: Zurich American Insurance Company Policy # or Self -ins. Lic. #:WC96734670 Expiration Date: 9/01/2013 Job Site Address: 24 pukr4t.0-n A 011 VI City/State/Zip: M, KoAou r MA le 1991/ Attach a copy of the workers' compensation policy declaration page (showing the policy number and expiration date). Failure to secure coverage as required under Section 25A of MGL c. 152 can lead to the imposition of criminal penalties of a fine up to $1,500.00 and/or one-year imprisonment, as well as civil penalties in the form of a STOP WORK ORDER and a fine of up to $250.00 a day against the violator. Be advised that a copy of this statement may be forwarded to the Office of Investigations of the DIA for insurance coverage verification. do hereby cern 11 tinder the pains qmoenalfles o erjun, that the irr ormation provided above is true and correct. L Signature: n"te-1 I .In 1;4. Phone #:774-226-0769 Official use only. Do not write in this area, to be completed by cit), or town official City, or Town: Permit/License # Issuing Authority (circle one): 1. Board of Health 2. Building Department 3. City/Town Clerk 4. Electrical Inspector 5. Plumbing Inspector 6. Other Contact Person: Phone #: • W Lnz V J L Ckf W rilW ~O CL Q � a W 3 1— � (n 0 CL N z J Q F- LLJWs m 44 Q z QWi� U U Z Z U C.0 � N p == H3 0ry W 0=LLJ � Ov U U I— f-- >- Y = �-- Q U I -� U� c'c Z' . W n. QW1:3Wn ~ W ¢ ~ CL 0 _M Z 0 Dr aE ¢CL Q U ^ cD C7 mZ=U Q=W Z_ � mow❑u cr-CD CL F - =)¢Q -i <m I lz LO m JO(n O ¢UOZm=Oui >ZZ5LLJ O <0-0 l< I W W OW. W'--~�Z�=QZZpW Cl �w,,,.� D V m � w W � U Q > _ = W F -F -O¢ = = Q' cW-' CL' > � O m ZZ� W J WOSQ(,]JO O U w a F->- a- C.)_ ui Z ¢ Q(n V W F- F- F- F- Q r -W M J= 00 N �C'1 X J O Q [C � 0= O Q J = O w Q O O Z ¢� O= w M Z Z 00 O¢ W X I U= W 1 C4 0i w z m Cel CX (.D O (n U W Z w J Z Z W LNN m0W cr U Z Z 3 w ^¢ ~ Z= p U Q L� o/� W [,r Z F- W m- W F- D Q W J= V/ 2-m< W w to J U— Q Z W' M w 2 ¢ m U Oho LLLJ 2o0a = m - Uj ¢ Q�M J Z:ZD W V)L)Z� (Un W 0 O N W U V c0 N z r 0 0 Q O Of p ��ornomQWnw ?LZ-<�Woo �QEn o M�oa� Ln-J z ZC�10F-3:: ~JrMO W�¢'-'-'m oLL) V) vwW:m Z- 0z F- I� 0 M— O m J Nn LLl O C.� J oUjmcM CL LL) �O�o0zwa0E- .mC) ck� comJmV) Q�� o Q JUJwOUmmI-DzJF-- CV=ZF- MCL—M--JCL-Jd 2Ua� _l W2W 0 U Q W w U N O J Q>= Z W N= Z Z J N J 2 Z Q m~ U H Z �Z �� o 2> W _l O� ui m Z 0= < ..< LJz V) Z Of 0 U O (n U N Q S F- w J (n — LL W C7 to o Z <m N� w cn Q� Q W C.D ¢ _I = W U W N O W Uj O Z� U �QawmaQ�v>o F- UNQm<-� o wJCL J <F-Z0F `3 J Q S O W W Z O Z 3: =:) O w (P) �-- L� p F- W X p Q li � J w(nLu oW= Q0aQFN �ZZ(J.> z�¢�LLILf) < CL C) wo�O°W° co W Q(n�UJ�Zm�= CLOOw O LLJ _1QOJZ� J —=0-v =>m -i CD W WOw¢=>- QO-OU=�NJWLLJOJQQJQJ=Ja00mF=u) M CL O W M m Q J U U U O m O O Q K d' M_ m 2 Q�= Cl- w W m m Q (n N .- N M d tP) (D 1-: od 0) O Ckf CL Q � a � (n 0 CL N O Q F- LLJWs m 44 Q Z p Z Q w� F- w U Z Z U C.0 � N o W 0=LLJ U (n U Q W Z J F-LLJ Q -O J -� U� c'c Z' as s' 7 1i u9 W n. (^D ~ O QF F -M W U X W W= W M J ¢U' SLC W ¢ ~ CL 0 _M Z N O W� W W U J �JQ V LtJ¢�S F- W' N N=�= aE ¢CL Q U ^ cD C7 mZ=U Q=W Z_ � F- ¢NVQ cr-CD CL F - =)¢Q INI� LO Q mm JO(n O ¢UOZm=Oui >ZZ5LLJ O -j W W OW. W'--~�Z�=QZZpW Cl �w,,,.� D V m � w W � U Q > _ = W F -F -O¢ = = Q' cW-' CL' > � O m ZZ� W J WOSQ(,]JO O U w a F->- a- C.)_ ui Z ¢ Q(n V W F- F- F- F- Q -W M J= 00 N �C'1 X J O Q [C � 0= O> S p Z w Q O O Z ¢� O= w M Z Z 00 O¢ W X w Xz z .. N w— @ z m �' o o CL > U> m Z �z ��c 1_l�`.ZZZO�a Z C U F- U J» a x Ftd J �m w ui w 0 � z L zz :D d Q. r 3 z z °° Z o o� Of w Ilk CD ? cn (n o 0 O o Li �- (x m U ¢ » O d. 0d Rd W�' > Q U U Z) U (/) o w o o Q H rd Q�Sa ai W .� z O Q -7) O 0 J O D U C.D Z P 4a a ri F--1 T� Qp L M a, z w w< ¢ z F= m4S' Ra=W�� O U 0 z 9 a: 1AI ua = I--1 > LU S Z z F- w 01 Ad `� t? OOwCLZF-O 2 LjFm- a X wz—z=w F-2= wXJom WF--<<F-Z¢w<C)� a` cYa. ve. }L LU o z U 0 I Z OO U=¢ Y O WS z 3F V x I)zZD�U-Ow~O ►= zi WfiverlyRd I—I 5< ¢ = U ui c)W(noOO�wzU (nom=NF-Z J JOpO a= �=C)www z �a�F-Z?�omo pc �€ v2) W CLUF- J S2S r��1�'11 (rnH(rn0�m Qom ��$ e�� > LL. -i �a?J=== v W cn(n(n0�`'=wz JNOCC � rS 1 O c)cn(n=cnwc)c�c� N Jw��W _-j2>OJooF¢- x1114, NM�LOCDr,-MM �=�dz(nQN3N C-ir1i 4U -i (o h+ (.D O (n U W Z w J Z Z W LNN m0W cr U Z Z 3 w ^¢ ~ Z= p U Q L� o/� W [,r Z F- W m- W F- D Q W J= V/ 2-m< W w to J U— Q Z W' M w 2 ¢ m U Oho LLLJ 2o0a = m - Uj ¢ Q�M J Z:ZD W V)L)Z� (Un W 0 O N W U V c0 N z r 0 0 Q O Of p ��ornomQWnw ?LZ-<�Woo �QEn o M�oa� Ln-J z ZC�10F-3:: ~JrMO W�¢'-'-'m oLL) V) vwW:m Z- 0z F- I� 0 M— O m J Nn LLl O C.� J oUjmcM CL LL) �O�o0zwa0E- .mC) ck� comJmV) Q�� o Q JUJwOUmmI-DzJF-- CV=ZF- MCL—M--JCL-Jd 2Ua� _l W2W 0 U Q W w U N O J Q>= Z W N= Z Z J N J 2 Z Q m~ U H Z �Z �� o 2> W _l O� ui m Z 0= < ..< LJz V) Z Of 0 U O (n U N Q S F- w J (n — LL W C7 to o Z <m N� w cn Q� Q W C.D ¢ _I = W U W N O W Uj O Z� U �QawmaQ�v>o F- UNQm<-� o wJCL J <F-Z0F `3 J Q S O W W Z O Z 3: =:) O w (P) �-- L� p F- W X p Q li � J w(nLu oW= Q0aQFN �ZZ(J.> z�¢�LLILf) < CL C) wo�O°W° co W Q(n�UJ�Zm�= CLOOw O LLJ _1QOJZ� J —=0-v =>m -i CD W WOw¢=>- QO-OU=�NJWLLJOJQQJQJ=Ja00mF=u) M CL O W M m Q J U U U O m O O Q K d' M_ m 2 Q�= Cl- w W m m Q (n N .- N M d tP) (D 1-: od 0) O V m W F— V) V) a_ w I— U Z Lu O cr 0 C1 Y wo U)� 0 Lf') 00 O ¢ Q r z° Z � Lf) QZ N Q o cy- 8 (!) Ib Z a e F- W w 2 orf W w > CD a N m 1 O CL V) O CL N = J C) co 1 N N N F- 9 w z 0 I LLQ O zWg2jS-* _- Z�pp�2255.�WWwU W� FW zWZZw~ WZW58Vo23-S F pl� o F o`oFO� V h CJQM Ls 8a c�c�mza Ckf CL z O 0 o Z z Z O p� O � (n 0 CL N O Q F- LLJWs Q W Q Z p Z Q w� F- w U Z Z U C.0 � N o W 0=LLJ Z U Q W Z J F-LLJ Q -O J -� U� L) D �C") O O Q W n. d. S LLI ~ O QF F -M W U X W W= W M J ¢U' SLC W ¢ ~ CL 0 _M Z N O W� W W U J �JQ V LtJ¢�S F- W' N N=�= �iLLI J Lu m W ¢CL Q W C7 mZ=U Q=W Z_ � F- ¢NVQ J~Q LLI :z JJJW(nUOQ CL F - =)¢Q INI� wF=Z Wzz WZmUWC7V OZC)OWZZLL, Q mm JO(n O ¢UOZm=Oui >ZZ5LLJ < -j W W OW. W'--~�Z�=QZZpW Cl �w,,,.� D V m � w W � U Q > _ = W F -F -O¢ = = Q' cW-' CL' > � O m ZZ� W J WOSQ(,]JO O U w a F->- a- C.)_ ui Z ¢ Q(n V W F- F- F- F- Q -W M J= 00 N �C'1 X J O Q [C � 0= O> S p Z w Q O O Z ¢� O= U F- W F -O Z Z 00 O¢ W QQmc�Uoowwwcnc�c�c�2c�c�zcnYYJ�zzzzowaaa.(ncncn(ncn(nF-0»»3z • OC-) > U �J O U C� C j Q W Z O QQmUUbO W.JW (�C�UCD2— > U> m Z �z ��c 1_l�`.ZZZO�a Z C U F- U J» U V) f- V) U) }W O d E O V m W F— V) V) a_ w I— U Z Lu O cr 0 C1 Y wo U)� 0 Lf') 00 O ¢ Q r z° Z � Lf) QZ N Q o cy- 8 (!) Ib Z a e F- W w 2 orf W w > CD a N m 1 O CL V) O CL N = J C) co 1 N N N F- 9 w z 0 I LLQ O zWg2jS-* _- Z�pp�2255.�WWwU W� FW zWZZw~ WZW58Vo23-S F pl� o F o`oFO� V h CJQM Ls 8a c�c�mza m Q o N N N W F- V) cd V) W F- J U Z Z� 0 0 j",I Lj =0 a W COO ��F N Q ¢ V) � o �i O =� C/)a a O N Q Q p Y U U O O Wil ^ (D E � � ^ M Q� 00 00 v N O C .. w p 0 > a Qz cn Li! v _ CT).. ME LLIQ Lo C X Z C V) V v � .. MW .� xo z .: (/) W — z r LLJ a o LU H Z W m W " z z N OO M W U U x OON J m Z O U C Q ~ M W O O O O m W O F- C C N~ Q O L O O Z V Q U DO 0 m ZZ- W .Wi O- Z O S® Q a®O 0 0 OJ J D OU0 Cad z OI I - 57 I I w F- Y Q (-)0 O J Z 00 W V) D O U- 0 Z 0 M OC W F- V) V) W F- U Z Z� W Q j",I Lj =0 N Q Q ¢ N � o �i O =� C/)a a O U-1 Y U O Wil E � � C 7 a 00 00 N O C 00 W V) D O U- 0 Z 0 M OC a O Q co SZ N ::D 0:f0 N HZQ C- co F. or Q -Lm � LLJ0OZ V) p 0 N 5 a Q N CL O 0- O Q O � N O O ¢ z O J O J clf O 5::1w o c� a FU CO r O D w < N =E z ZWgZ �'ZH� ?oWN�{ay��Z�i < y 2 J O Z Z W 1--�� 8NW!p O O m Z K S O W F- V) V) W F- U Z Z� W Q LL. Lj =0 N Q ¢ � o �i O =� C/)a a O Q co SZ N ::D 0:f0 N HZQ C- co F. or Q -Lm � LLJ0OZ V) p 0 N 5 a Q N CL O 0- O Q O � N O O ¢ z O J O J clf O 5::1w o c� a FU CO r O D w < N =E z ZWgZ �'ZH� ?oWN�{ay��Z�i < y 2 J O Z Z W 1--�� 8NW!p O O m Z K S O � E N u P 2 p M O w LLJ V)Y a � a Q W W ^ w O Q J (W Z N 3 O OZLLJW wJ�+.I O O p J Z V)W_ Nil wzo F -Q Q J (-D V) u e� J W Q= �� W W Q� �, 11� u�i � C.D < AZO O_� O J ilk m W Z N J= J I�1 L~ U Z Q Q W J U H CL 4 < CSO N O O (/) CL Z Z ON N W N C u N u u u < 00 ...i ® 1� Z ji w Z N W W m�C.7 LL sI.L i .. ,4 z M = � W fu 0 V 1-4N > LL ~ II O C) z II z LL 5� Z I I (nC/) n � 0o Uz co U N Z I ® Lj-j0cn W � 0O J JW F W U' CD F—^�' Ii x Z� J Z �m LLJ —J Z z Jo Z �� ::D D p N p QLL. Lj O W J m W CLui CD z ONS Q O O 0 W .. En Cn Of U V) U Q Q p v 00 v F— V N W Q LO 00 CD v � r Q Co c(.0Z N �cr� N (/):2 C:) Q Z N C.) LLJ�ZQ cr- L~i WU' J U J O 0 3- oOr0~ JO O w � `tQ�O N C.5 E U� U N U �(jjOOZ = O N \ Z I N sp � N 3 a N N Q V) \ w w0 w W w o O w 3 .gym = N Q Z O Q CL N ^LL,(n " o w 5 O J d ^ O Q J ® W I..L �I J J d Z N o_ O pQo'U p O Q W CL O LLQ_3 p U N = Q�oU�¢ O Z U m = WLLJ Oo in N CD ® O I I I Z J W W Z� co. wZ �oNON O ��� o O N Q¢ N FQ— I � `�' s Z Q > Q J(n � T— m N ^_ z `n t m V)00 �\ in W N LU\ J O Z CkfJOg'3 ®O \ U -X Z I a< -N O o Jic\\\ccG a t\ N N Z Do W j W x= Z N WCL W N Q Q \ J O N W J U\ N M L.� V ?f M p��� � j X En CI - 0 0 Fa— 3 W N = i N~ U 3 i5 W \NQNU I J �� Ntn� _ �J d=3 = o Q z�=oJ z ins b U O �W c N� Q W~ M 7 a a V)Q N CL CL W d m ? Q co N O z z �Q�� ¢ U LLJ --JG�SEIT g a W WDS �J O V W_ OO _. tai FB=z� vU N Jo Z<>_� ¢mffiocF��a 4d P `� ��myW�arn �y°�w00 P Foy~oF�W I 1 0 I I to. � � �� 3¢G� P I I ,:t 'ao- oC aC .Njk, aD co : o U co W/� p I p IEw,�E c I n' IL V I I » ;» ; o J it I I to CVO; L0 � O I I I I f 6•0 o E R r m o wl o wl 0 0 N I 1 W; W; I I a u •Y u O V O N � I I I I m�m•m� vw. d �c I I w `v, •w o cma.�m c E dM E E� I Ip I 1 d N i%C N ' I I ooY'dd c Q� I I t7 C� � � 033 m w (JJ V Lu Z CL q:Q Z I I 8M 75ft L= �5 J l - J o N I I I I •--� N A U �s D 0 a (n rn LJ I I I I O L'i Mw N a 0 I 1 I I 3 N cr I I �N F F I 1 I I W 4gIN ~� I I V) NW N I I >- y3 -M Z 1 1 Cn +►'o Lo U I I x> Lq N L'i N I I a. �a P., o p I I W F— U E o w I I U Z I I L'J Q I I 2:� --- Cn W Li- rr,o z J JC (n U(.S U U U1 I 0 0 0 U W N_ W ::D:!5- N I�Nd- U Ul)��Lu Cn W 0 I LL o a = y N a Z Ln N' �aJ ❑Z (7 W O S ~ d s`" l Wag o Z Z 3 ¢ J U1w w U 1--1 rlo I L.Ci zI - 0. I U U 00 3) aIWId ig I Qa a= ^ 1 1 O I z II ~• 0 -E (.01 Co ^I N M Z Z Z I �pL> 1 I gg ax: > �0 CV cln^ CC N N �• cn w co °z m I, :D_ orC3-Qf~ > o bl O N O U N O o < U• L� cf ICn00z I Lu 7 W V1 p I Q r ...j C\ 9 y O ? Z I '' 9 M U m02 i5 m My d N N N m E aVi m N N N O Z O 1 1 Z1 Z1 _�� c� Z3 3 3 az' oic 1 I I ZN• N •� ^ it i. i.3: LU C7 > c C 0 C. �'- z g a o c 0 _ z U Se V. z.��_a g81 +�. a► n►:► O O• d W i� 3 3 amigw sr Q J < 6 6 N 2 < ^ N I.1..1 q o m _ ^ v^^ v v ____ v40ft I: I 0 a l l l l l a cn I N O32 � I O OJ O 0 O Lu W � W J 1 LAJ ViwW Y U a = C C7 O Z i I--• 3 O W Qmo I0 CL C%l D W O m W Q 1 F' -Q I MMS W _ WS�OoO U I Z a V r O Z�co ' z O Z .�LLJ ?� L ¢ a) �i Mo. -O -0E --------� r-*--------- I z m Q E UI 1 I wl I 1 w Y a W OOZZ 00 UI I UI U 3 < N ^�Ci ¢ m Z WI I UJ1 °� z � d� J C d I I I w a • • C14ti a o L2 W d p c�i d N ONO oN`� ms ILU w _Z cj N M3 W N 5 N W N �• ".8C.- N 00 � K < z a ZLLJ o o ��U z L) U O C3N 6UQm �� _ ==1-F�-�Z Z �� C.DLLIS �$y0 WOZW _�Fcy�ONfp�. ce co W ONS .�•.m �OUO �zOO 8UN�N NW zFcO�OQF ZZ Za Oz_F Lo -n L2�ZZZM (O.1 COj OWOZ ��N� f C v� O N O00 00 00 3 n M S � U So N O o Z W J U Z W Cn J C z 0 cCL 11 CL E w� z J J w ::D v Q �� Q V �oJ Q (~ U V I— = w V��W o a J W 0 00 O a Q � `o CD Z z N ��0 N �Z¢ a a� N (W �� O d � 0 O I N I Q_ Q NLLJ CL O 0I O Q O w + ►• NJ II C� II U II o II o Y U w 7 II ^ 7 7 II ^ ^ a� `� II ^ J O c ^ .:�� I I v �. �0I I v .. �� v n _ _ co v v v l I c0 : v v I I co v o I c `0 0! O o �v I I U y I I U E I 0 E a o ,� �- I I _ o o ., m_ 0 c ^.0 I O c a o v I I 0 rn Q o o I o 0 ¢` o o � N �N g _ o I I b\ o o o j � o o o a N a c I I N o - o 'n a o I I N a c I 04 a,c .S c rn E I I c rn Ern I I c rn E E I E II o �°,' p l I 11 o °� I I II o ;' :r j II v o +°% O o ++ I I o io c O v l I >, o c o .c I I c o o w a om �0(D I m l a o� 0a) Q a�° a oo j m a c� i o o �+ �¢ to .' o f :- I O I E :_ I E o" �' w Ev v� «,� I I v �m 'vim m 'v o o a� o c rn I sY l v .� v U I l i m o Lv I N m y � U-) mU O o.'= I N I m �� o c I N I o o h I " 00 o n U; I I CO `o U I �, I mU `o o > I wU `o � > 1C U y L rn I ¢ I O v+ U O I ¢ I o, 0 O ` I Q o d+ v O ` •c d to _0 o vwQ m j co'ov^_ '� vEQ ��^ yM owQ L ��^ a`>'� vw- z .� O^ a N I a0 ci O. I ` O^ p 4) Q_'O I O_ I .J O n w N dv I .«.. C:) n w N cu Q Q N E C7 In N I 0 0 1 Q¢ �� (7 E a N I y I ¢ M v C +O+ lf) I Q M a �i O E" lli z W �7 3 i 0 N O O_ a� i I CO N I ` O N O H y I N I N N N F- y fV I N O N y I T I a CV S *« j rn j °� >v In >v a`� L *� I `n a� >v i[i o " v * F U L N L y m y I Q X I t N L o a� y I x l t N L a .o a� I X Jr- N s a o o aci aih ''+Z z�ci c �,>= i x��jje�w�z •N 7 Q 7 7 O I CU I •N 7 Q O N 7 I I •N 7 Q O N 3 I N 7 Q �.3mZSO G?��� inE E cwN i o f NE E j c ai o inE E c" I ME E t c`�U i U O O U O L O U O Cn I ` N ` 0 U O co WZW� a0�4d O o a O 0 0 0 I ,c a I o v o a�+_To Ic CL I o y o I N a U o'o v> +- o v I N I v U i N .� 0 Z I N I 0� I v v �' U N v I i,S a v c a c v o.c I in D I c o 0 o v,c I in I a o c a v o v c U I N v o c 3 0 o.cU y�d�7 a c c c o �c I d l c c c = o c c l I c c c v = ac. I a_ c c c 3 ac. Fc'� 0 0 0 0 > E 0 I U o l O o � o S a E o- I U o l o o o .S � E o'n I v o 0 0 o .S 6 E o�- U SJ CJ U U w Q C 7 i Q i U U V U ,, I Q O E i O tY i U U V U C LUQ U I� i O� U U V U w Q o ci I cli d l Iii d v ti I 6 l rri 6 v ti I co 6 ri o 0 ci F5 6 N Lcc CN CO co CL 00 0 Ml Lo 10 co 00 2 CL CL CL Ln 0 CL Cr LL 70 a. cc n�vl CD CD co to CN CL In ai Cy L a a � d= N Q O Q O Q fO m > ^2 >� N O N O 0 0 T N y � N T� � N � 0 0 0 0 7 f4 N N N 7 7 CO �p fD (D O r r r a r N N C G C �` N Q Q Q Q O O O O O U O 00 U U V I� O N b . O •� N N> N C> Q � Q � Q. Q � Q � d � VOUO�V 0❑O�Q in E»QQQ U QQo O a0 O) C � � T� (r0 O N CU O O O O � N . U C O O s O O s a _ �� O i. �� '�` C m � +'ti «., +N•' �Z wt O O f6 O O fCl N C � 2 ), �� C •p N m y J N W � O � O C �� � O H � l0 r W O U C Q Q Q '(� � �.\. .T. °• a.+ p�� E Q Q 'V � ° � O• C J « + + + N y>> Q Q Q :U U 7 .. � y¢ ❑ a r v O lUC Q O « .. II N N is C a II � a •U 4) m N � N N � � N f` N � N II II � II L 0 � � II In N f6 N N � II 3 Q O O O a 0. a 0 a� Y C) � m� Q N N O N E a N a 0� «T. « � � N � til•";.t•. L U Q N N U Q N_ U Q Q l0Q t0Q N O U U + �'a,Fa w �. V >=a,Fa � O_ r 0� 0 m �s •" � 7 7 N N II II + N O+ ('A rCl r>o � ro ,n a s m II d a :,, m r o d .° y 11 a .., m U E n O 0 0 O O O O� C N y 0 E C7 U >> O O O O U O O O O� y C IOU E � W W U U U C d r O- •.• •.• U rn E M-cgFU❑ F -Q W O UOU UM vfAF-U❑ .02Q 41 II II = II d II = II O a � a� a > a o a � o E � o• o a Q v •p p i0 a v •p i> fn>m> �>(.» m » N E UCV N N CV V a a d a C f6 O H a I •UO •UO � � U) a ° »» --17 C°7 U N •7 stO. � N 4. d• � ion ��aa+ �� �-- :. aa• ait O . N' N' O � N W d L d E E C H H C qJ N N a m Q r �t X C a C N N OD W Q.txa T TCO (O U (p N �•°o � t � ao�g 3 QQQ � Q o � E :.�6._ U r> X� QQo' v ao CO N a CV U C r O � o � J Q '. N U C G II c II c rn�;a o � E.� m °� a E i � � E.� � y� a CA y3 a d CU � I N Q N l6 - f= Q Q N tCi .- � p O� a s Q f6 ,,. T •° U i a Q V O .. T •O U W O a It N= N O }' O lC Q �a � E »QQ'>Et, o»QQQU Eao�a°- 3 'Qu U EaUm-°a... II din to in �., N d' �= .. � O tCi _ � II tt) II II Ln N N� P; O t0 ^r,.'d�..�t- � J BION O � U Q a f` � c6 N� � CU N O£ a O� N�� U N t70 ipp : M� C N S U E O, N N Q� m ,O N ,U W � Q� R �.o•n��so°oo°E °U m>OUoOvo°� °oE.r��<:U .2 Cl) �Q �O �, �OU�MVfnFU❑�Qw ih v m O F- O O{ � r � r � � � ° II II n 11 n n r in a a a o o °- °- a° r- 10 9. ' � c 000�'o� toEU°•gy: a» � �FFMd o oEUc•oA y E �� � � •o � >°;oR c�!�ri a v •p m » � r ri ri ri ri �o N N � O N O � n M S � v NY U y� � m N a 00 rsvu vcry i •;.max' 141'01 i O d . I a �� J ur I 5 2 ju� uA S S e f Si W �Y I— Ln LO LLJ IL611 E w W LL_ i Tm as n a Y (~� W Ljj .�w W H d V I Z',. um '� G Y OC € d 8 aj rte' >., coil ffi o a IL j �. SSI 5 5 I E d r 3 E g a€ 42, -� & a F t 4 iE x r c ul �, 1Y. r 5 W E uy iE 2 E !f L �Ts prn�'�' _ w ►_- ®f d' 00 ----- > � �l $ QAll Cfl a c � �r�.-_ � Z �_ coo ro Qm w N Ly�Q 0�_�cc 14 0 n wS °i $ cn a f; -a c rn E e T� E 9N N M�>O N Y mit E E = y c Ol is W a a c a ro $ m g Q z N a vo r t ~Z Z E m Y e �-5 ® E a b u Q w ��Q Cfl m sem- g ry v m SA w my @m �.�a._ o n cy 0- `'c £� a {caS l Q N c s(=', N IIl c 1- 3 B fl 3 `: s�. °` W I' r W �' O a o ®.(n00Z N N _ I W a y u �p A J cE A2 E c L 8 y J. -y-. U`. �+' t"'! - 1•'� - ? ma`"y� 4i'o' 3n `per ° acu E r �% m m c b o f yg c m iLeg (EIL-m 0 2 TT c. rn5 _ ; rn� z i t9 m I 7 W of , = V = W 0 _ m m m m o�yS OGa�t> Epi 4 �g� .5c uo d iC Pct� �=�IL 7�p a�u ��':a c$a' d�© �- co�� ��j't rn W ©c d o tLLIL 70 _rn °° o ° mo w 8 p c� CL O V> >.5 ci.5�si�P d 3 Wim« a cix$ mn � u' 3 _ ��_ d C) Q N Q EL a a ri d < Z iV N N N f�7 d d d a E J O I p- 0 O ! •• W N V � R Al O J � W I J - 1 � 2 ' • cri U Z W __ Iy ZW��WUW W'cF FGyGy'jj�{ �= W Z W H O_OWOUO o��'S� pa ALL. MRS �IX�1�t=wag- 6 • • �p a o= 0 a< V V1 �NC ��mza��uia a a y El Od N V W N o N f b t v� d lL O3 � m N �• N V1 0^ •s `O NV vwo $�. q --, A� O �� O N Q iTs •d M „ h:<'o 6 P O. y Id •O tl N� u �• - i N vy �" h ' s .N •` "� '� :.S pU v[�! lL. •A �i ;R '',V O 3 3 i- � �• CR7p� I � ���y{ t� F+ mf.. of pq ILI�t f a C I yv Q I vy{ V 0{S iii M W � � ltiJ LJ _ _ _ _ q� �� � �_ ��M �' `? �•i�� 0 ,SII` (�(po^�9 r'i- Vi ' H A'.i pp p .4 1�n''. cfJ � N€ B C yy C�3R N ¢�. Vj. %i G Qv ZM M' 'E V �tl� m O �q N0 N JAL �v N y y j ��?'. S it 8 .T Y} a g _ 'G3'I S! N ' �F-- •i'V�N�' « ~�N �'kd fy.H� W fR V) 6 0- ap � O _— e a (/) LL- Lj_j LLJ A ' vLLJ m r :n c v a a q"�g's` •N �� 0. .L• « V q E' N C. b �. E C 6 L' q s v Y w ¢ G Y C. p�'O C aF � •� U) LO V/ L/ V' U 'a S. SS O� % $ � G .�� �. D � CI 'y E C v Y. G L" E O b.` d O 'ga }. a y � N .= d ,� O i Q, q� Q W < 8 a� o ._»+_ 2 E EE�o e .. a* O Y� o a r 3 E Q.� e: L4 m A i o G IIE• C.L c `3- E V E + w 3 a E? �7 aV NN b'rS Kr t Z y n Y a o c a< A j p 'S Y •S x 1Q a C 'a Ts "' E E T c �I mniu v •E .R v 3 K W $ S, $ b y Y« a s r'cs c E'ctoo.s o m E K S, E " n ?b > u� .mw6ECC�w �- � _ Se'. i5 N a F � z z a` a O Z7'l7 :6 �Y1o E ►•:� g, v.0 v v f %.W v �4� l'J � � �i! .`e� aIQ ¢ i S O a` 'W` � C c � OG e � .n �naYi � nc T w ? c SC 1 „t.a, LO 00 IR[r) 1�LXmp t" ' O L Q ' cc r�r.�1�1J i t • Z CO � Q N Lij I , 3 c O cya— ! I ° > N OO Z �: r (� i •�' L ry CL O C/) a N N uj M 40 °v a N i a S -r-O y .0- 0 - 5 t - N : L E ca is a+ o o ¢ --- y 0) LLJ Of a ON v ffi c 1 a, o w u 3 33°/° o C) N¢ c� �a3 gaa`, >m g 5 QoEa•E °�' m a�aooa ~7 cv CL m -V va'orn 03 p O q. E c c a�a�'-°E O � u ¢ w Z Eve 3 caciao A v =moo a a, 0 0Zit EavccN J O u u _p � v m t 3 a Zr', `v v v Z � �io A 0.aoi (L'-§ A G O >- } _ m a c+ y E w •� c N a 0� C v r° p v vi bJ' c� F N d �F^ In o c, a �v H ;; o X v C_ o' a> W 3v LLI fa rT m e x �' cc oCj `q� 0 v o+t c � v � H Ll_ w ,o m v ? c° E g E a o g v vi w L v a N• w ;; O `c 1 1 yy--�� zy L aci aci S OO 3 m CL -cc Wr ° w 0 Ec r °� y 0 0 4 cc � R o a cc > o> ar o Va q v a� c -r > A +! Na �(� �[� W1 m GoN a)2-0 'C C EO Z S J C'Y 1 1 �c��s L4 C Q Y n O C D « y C C V H y a OCi C'"a o a "vAas .0 N L ?. W � z t— , aC c io i W aia a, mo H a G .� v •' Eli $ cacaca E$Hio CJ E a Lu l'aCi 003 a+ 0`- �L a M a a 3 rs m u -OD rnA L z z D E ¢ �' F c c oa �°'� • • • • • • • • s OR3o acW R G p N F W Z W Z W f - i�rp-,•8��w�z �mYSoo{?yy��� OWN ZZWp 1I�n �V yl�� i2):! it w w 1= N I b;ucj ��-L<� =D Z� W ��pp U U m Z N J L O K, 9 - t V N N. �M8C a a L C O A v N C 4J � r � y N 3 0 u c CN C y i a+ «+ O hp O O C a a t m ; w p LA C L N d C c*' � v y •3 ui G E E c t v bO m a v aci C O t L° v� L « 8 d N O3: CLG C c o 'y v °o a2 ra c o j 0 N O bo 41 `J c c = + O�N C c Ip u ui v v y V N m a N m o an «. u do v s E E c w O o -Or- 0 v u y Q LL O to m cIAI A v C7 u v w I on y a� m +�- C CL y N c Ln c f0 a .N 2 o 0 •D f0 y fa N p ma a w -C Q p c .O 1 3 F N E w U t0 n d0 ~ V Qi � O V) IA 3 T o C� C L 7 c U .. O Odi Q "O N N •C d wWy C -O t v d 7 C E U.N C C N O N y N �O N m a+ Q EE' N A Ol LL 41 Q H o Q Z t OU y L I- w wo O • • • • • • • s� 0 N. Ol a a C � A v N C 4J � r c 3 0 u c V y i a+ «+ O hp O O C a a t m ; w p LA C L N d C ui G v s m 3bb bb � N f7a A L u. Vf C 15 + O H CL LL W C t V) C M N LL CJ �p C o N V) } w Q m V D 0 v m Q L .y cc a - W H (n 0- W �— U Z Z =) W 0 o� ryo Z:)� C� Y a� w� cn gyri LO 00 0 0 'S a Q z r z Z C ::D Q z Z Q f. C3 a_ F- 0 < 00Qf W a O co CD co N.Iy V N N NI I N � 36' 0 -2 C, — Date..:/..15. ................... TOWN OF NORTH ANDOVER PERMIT FOR WIRING Thiscertifies that ........................ . ..................................................... has permission to perform ................................... wiring in the building of .... ...................... at .... �?. .......... ........................... . North Andover, Mass. Fee cW. .... . ...... Lic. N6-.. ....................... �� .ELECTRICAL INSPECTORCheck # /" THEC0W0AWE4LTH0FMA5S4CHUSETIS DEPARTME TOFPUBLICSAMY BOARD OFKREPREVEMONREGULMO1CY5270M 1Z0 Office Use only Permit No. !� —a, Occupancy & Fees Checked APPLICATION FOR P� TO PERFORM ELECTRIC THE MASSACHUSSTS ELECTRICAL CODE, 527 aAR lA o WORK ALL WORK TO BE PERYORMED IN (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover The undersigned applies for a permit to perform the electrical work described below. Location (Street & 'QAOwner r Tenant Owner's Address To the Inspector of Wires: Is this permit in conjunction with a building permit: Purpose of Building Existing Service � Amps 30� z Volts New Service Amps / Volts Yes M No M (Check Appropriate Box) Overhead Overhead Utility Authorization No. Underground M No. of Meters Underground ED No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work W 019 Ct7 a %\XW A1 MMMS - No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixturesg Swimming Pool Above Below rl Generators kVA and ground No. of Receptacle OutletsrZ No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners i 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 Tofu KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Connections Other No. of Dryers Heating Devices KW No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP T. t litstrartoeCo�a�age Pt�uattotheregtmanat� Ga�aal Iha�eaama:tI.iabtlityhnuatoePt>bty�tdtidig Cc r Iha�estlxnilbd' pttdofsarteiDtheOfiioe YES NO ' ;NISURANCE r1Jk BOND a MEMo Will C A)l WarkIDSlatt � -O c`�. , -- 1 ia�DeleRequ ted Signed undw%Penalties cfpajtay, FIRM NAME Ltoa=ee 6�1 ��S.�J1f� Sigt>ahne atuafivabt YES ® NO M Ifjouha�etjtedaedYES,pleasestdt�letheq'peofoo�d®ebYdlad�rg>he ftffle) ()%\I T,G EViatim D — E4n*d VaktedUmfiicil Wuk S 115 010 Ro# Fnal aA'I`A Sl 10 1 OWNM SPNSURANCEWANER;Iammmt dthel edo nottle and that my s�taeon this petm� wars this tet2t�na>< (Please check one) Owner o Agent Lioa�seNa \ t �� tJ BtlsirmTel.Na 1191 A1tTdNa 2ZQ�`aJb�1� �thex�tsaneoaeageDritssti antialet}malaltastet}�aclby�Ciffmallam O?/f Telephone No. PERMIT FEE U�P (:umm inwealtr of _49madpnrm Permit No. u,p ltpmtnrnt of Puhlir fafttq Occupancy A Fee Checked BOARD OF FIRE PREVENTION REGULATIONS 521 CMR 12:00 L 3190 Pom blv*) 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) Date ID — 7-9 T& 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) Owner or Tenant SC 0 1-7 A) f/ S�2 Owner's Address �5fi*i 4c— Is Is this permit in conjunction with abuilding permit: Yes _ No C (Check Appro � S g j Purpose of Building _ r Cr Utility Authorization No. Existing Service Amps 4L -22O Voits Overhead ! Undgrnd C] No. of Meters New Service Amps Vyp a2V Volts Overnead ,"`� Undgrna L,: No. of Meters Number of Feeders and Ampacity fJs UJi2 aa� ��(� 2 ayfll! SSU C At= a Location and Nature of Proposed Electrical Work�Ff Aav6 — L t�t�2 ('(� '[-Cw AJ r' Ser vo _2 No. of Lighting Outlets I No. of Hot ' cs I No. of Transformers Total KVA, No. Of Lighting Fixtures i Swimming Pcoi Aocve.— In- r—. Srra. — grna. _ I Generators KVA /"� No. of Receotacte Outlets Y No. of Oil corners No. of Emergency Lighting I Battery Units No. Of Switch Outlets No. or Gas =urgers FIRE ALARMS No. of zones No. of Ranges ( No. Cf Air Conc. otai No. of Detection and :Cris Initiating Devices No. ot'Disoosals I Na.of Heat :o:ai -otai Pur:cs :ons KW No. of Sounding Devices No. of Dishwashers SaaCerArea Ieatiro KW No. of Sart Contained Oetection/Sounaing Devices No. of Dryers I Heating Devices KW Local '— Municioal —Other Connection No. Of Water Heaters KW No. of No. �t I Signs Badasm Low Voltage Wiring No. Hyaro Massage Tuos t I No. of Motcrs -otat HP OTHER: INSURANCE COVERAGE: Pursuant :o the reauirements at %Iassacnusers ;eneral Laws I have a current Liability Insurance Policy including Camc:.eiec Ccerations Coverage or its substantial equivalent. YES — NO I have auomtttea valid proof of same to the Office. YES = NO = If you nave checked YES. pease indicate the type at coverage Cy, checking the appropriate box. INSURANCE BOND = OTHER = (Please Scec:h.4) I- (Exaltation Ouet Estimated valve of E!ectncal Works _ 1 /O'O Work to Stan /D — Insoecaon pate Racues:ec: Rougn & ` Final Signed under the Penalties of pertury: FIRM NAME UC. NO. Licensee 'TERf2 Cf CIE' S. azure .�v►'t�- a�— r g-. tic. NO. 93y6 3 3 .J 5` L� ACb T j��A gA/J) Bus. Tel. No. Qr:; -inn Address / (Al 5Alt. Tel. No. Ja OWNER'S INSURANCE WAIVER: I am aware that the Licensee cues not nave the insurapce coverage or its substantial equivalent as re-' qutred by Massacnusetts General Laws. and that my signature on :nis cermn aopucation waives this requirement. Owner Agent (Please check oner 66/ Teteonone No. PERMIT FEE S ' (Signature of towner or Agents Date....1............. TOWN OF NORTH ANDOVER PERMIT FOR WIRING sACMus This certifies that ` ''-- s } r has permission to perform - � -- • � - �M- r wiring in the building of::.......................................,................ at ....... .....t*, .............................. . North Andover, Mass. Fee'.7A .... '" ...... Lic. No' i' ............... ELECTRICAL INSPECTOR 10/07/97 10:24 90.00 PAID WHITE: Applicant CANARY: Building Dept. PINK: Treasurer Location No. Date L7 TOWN OF NORTH ANDOVER a ^o Certificate of Occupancy $ Building/Frame Permit Fee $ Foundation Permit Fee $ Other Permit Fee $ TOTAL Check # A/7 15311 �-6 , / Building Inspect r TOWN OF NORTH ANDOVER BUILDING DEPARTMENT APPLICATION TO CONSTRUCT REPAI NOVA OR DEMOLISH A ONE OR TWO FAMILY DWELLING BUILDING PERMIT NUMBER: DATE ISSUED: SIGNATURE: i1 /% Building CommissionerAp4wor of Buildings Date rT.`l+TTAAT 1 f.TTT Tl•TTlIT�r � mT��r 0MA.11v1ll 1-.Jiii, ll\PVl(LvlAl1V1\ , 1.1 Property Address: $-{ PUTNA M RD 1.2 Assessors Map and Parcel Number: O �l 00,29 Map Number Parcel Number 0 • AO VOV6Q-0 NI jk O 10 4C- � 1.3 1.3 Zoning Information: Zoning District Proposed Use 1.4 Property Dimensions: Lot Area s Frontage ft 1.6 BUILDING SETBACKS ft Front Yard Side Yard Rear Yard R red Provide ReqWred Provided Re red Provided 1.7 Water Supply M.GL.C.40. 54) 1.5. Flood Zone Information: Public ❑ Private ❑ Zone Outside Flood Zone ❑ 1.8 Sewerage Disposal System: Municipal. ❑ On Site Disposal System ❑ SECTION 2 - PROPERTY OWNERSHIP/AUTHORIZED AGENT 2.1 Owner of Record FRA/J K 4 LAU P -A MAC, M t Lt AAJ Name (Print) -� Zkl 84 Pu rNA M 9,1>- X) • , 4 J DOVER ., M A cggs Address for Service Signature Telephone tg7E3) 6a:37- 412! 2 ,2 Owner of Record: Name Print Address for Service: Signature Telephone SECTION 3 - CONSTRUCTION SERVICES 3.1 Licensed Construction Supervisor: 1- 15 C• 1D•AMtC0 Licensed Construction Supervisor: G39 MAW ST-.%V0OVRA) MA• Add res C '781 933 Signature Telephone 01801 67,99- Not Applicable ❑ CS License Number E xpirarion Date 3.2 Registered Home Improvement Contractor fou I S c • U •AM 1 Co — •DAM t co Ham — tM PRwa4ivr Not Applicable ❑ / 33%3 Company Name CON MAIN ST • � WoBt•(2,�J MA.• O 180 1 Registration Number /12 /ZO03 Addr C -7$1 933 6 70f; Expiration Date Si nature Telephone 1 n a C �v C i P r r d 1- L r SECTION 4 - WORKERS COMPENSATION (M.G.L C 152 § 25c(6) Workers Compensation Insurance affidavit must be completed and submitted with this application. Failure to provide this affidavit will result in the denial of the issuance of the building permit. Signed affidavit Attached Yes .......❑ No ....... ❑ SECTION 5 Description of Proposed Work checka ucabie New Construction ❑ Existing Building ❑ Repair(s) ❑ Aherations(s) id Addition ❑ Accessory Bldg. ❑ Demolition ❑ Other Specify RFvOVAV QAC 01C 6CisT/NG- OA9 .S Brief Description of Proposed Work: A'�ou 4. REM 006L- IC,ONf3w Ekt 1'T1ge.,1/2 D-9T/f ho ogme Soots' 7-o 31N evn+ k/AJ 4!!! cf ey• 0100,97T6r PWMAJAM- 7U Goyid _ Et -EC, iusacAY A.16W Pix 7*4ES, . r Aft" 4-A;AJ7EiZ , CC.eA -A41C. r/LE • IAWJ r4we GuT• +A110 NAP*r4F 8#rAJ W7N7AJ J4,uE PburAe Aiur • AAFW GiXrQRES Cr4-McC., V%.E, 00"PIA41 rC-AL SECTION 6 - ESTIMATED CONSTRUCTION COSTS Item Estimated Cost (Dollar) to bef QICIAI;IE Completed by a licant permit w' ., •, 1. Building (a) Building Permit Fee 14 r ('(0 Multiplier 2 Electrical (b) Estimated Total Cost of At 88O Construction 3 Plumbing '4 a S'V Building Permit fee (a) x (b) ,�- 4 Mechanical HVAC 5 Fire Protection Ail&l 6 Total 1+2+3+4+5 Aq I y 2.0 Check Number SECTION 7a OWNER AUTHORIZATION TO BE COMPLETED WHEN OWNERS AGENT OR CONTRACTOR APPLIES FOR BUII.DING PERMIT rr I, 4- G L U V A M.4 C h-fi i as Owner/Authorized Agent of subject property Hereby authorize LOU Is C - O,AM t CO to act on My beh If, in all matters relative to work -authorized by this building permit application. Si iALre of Owner Date SECTION 7b OWNER/AUTHORIZED AGENT DECLARATION I, "UCS S C..- Q'AcM t G0 as Owner/Au rized A nt of subject property Hereby declare that the statements and information on the foregoing application are true and accurate, to the best of my knowledge and belief "U c•y,AmI GO Print e , C 2 /e 02, Signature of Owner/Agent Date NO. OF STORIES , SIZE a BASEMENT OR SLAB SIZE OF FLOOR TINIBERS ISr2 No 3RD SPAN r DIMENSIONS OF SILLS DIMENSIONS OF POSTS DIMENSIONS OF GIRDERS HEIGHT OF FOUNDATION THICKNESS SIZE OF FOOTING X MATERIAL OF CHIMNEY IS BUILDING ON SOLID OR FILLED LAND IS BUILDING CONNECTED TO NATURAL GAS LINE . 2 G.2 I N p M z m 71 G O p co O L rXIJT/NF- WOW - /N 7740 AREA, ---- 1 w/s w cq fE G,c Tco¢i oQ E�iuJl .vb- , W4 &dj W N fin/ 0/arrN I�WMDIot�i- R -/3 CNA16 NEW Kokt.fiZ S' 1KU.A�t�R r+IB N6w 2., VAwi Ty o- roo MEW KU N L" EuW GooTEO Oowtr W C APP ro vlAa 4Nr �IAvJTEO ry ovrriOE CxX/Jr/Al G- ZIVP IC".Do< a.4rH Gx8 /A.;JipE PIM0US49WJ CriEANtL T16� SN4RoWNJ t5urnab 2-Y,4-6 Sc.9cG /'t = /' The Commonwealth of Massachusetts Department of Industrial Accidents Office of Investigations Boston, Mass. 02191 Workers' Compensation Insurance Affidavit Name: l..ou/S C • D Am i LO Location: 639 M4/N ST - City W 0130 RA) FY am a homeowner all work myself. Please Print 01 am a sole proprietor and have no one working in any capacity I am an employer providing workers' compensation for my employees working on this job. Company name: Address City: Phone # Company name: Address C-- Failure to secure coverage as required under Section 25A or MGL 152 can lead to the imposition of criminal penalties and/or .of a fine up to $1,500.00 one years' imprisonment as well as civil penalties in the form of a STOP WORK 0RDEA and a fine of ($100.00) a day against me. 1 understand that a copy of this statement may be forwarded to the Office of Investigations of the DIA for coverage verification. i do herby certify un�ains and penalties of perjury that the information provided above is true and correct Signature C d i, - y i-,— Date W o Pant name LON t S C • D•Ac►" t p Phone #_ 731- 933-G 78S Official use only do not write in this area to be completed by city or town official,Dept Building d Buil • []Check if irnmediate response is required Building Dept [] Licensing Board Contact[] Selectman's office person. Phone #: 0 Health Department 0 Other RV WORKkMAN'S COMPENSATION a 0 0 BOARD OF BUILDING REGULATIONS License: CONSTRUCTION SUPERVISOR 4 . Number: CS 049796 Birthdate: 05/26/1960 Expires: 05/26/2002 Tr. no: 26062 Restricted To: 1G LOUIS C DAMICO 639 MAIN ST WOBURN, MA 01801 Administrator i',\ ��e I�J0471/I7bO�I2f/reQ:(1f1o/����ac�Rcdgl� ti I Board of Building Regulations and Standards. HOME IMPROVEMENT CONTRACTOR Registration: Re 9 133363 Expiration: 06/12/2003 Type: DBA D'AMICO HOME IMPROVEMENT LOUIS D'AMICO 639 MAIN ST. _ p WOBURM, MA 01801 Administrator t License or registration valid for individul use only before the expiration date. If found return to: Board of Building Regulations and Standards One Ashburton Place Rm 1301 Boston, Ma. 02108 1 Notvalid without signature North Andover Building Department Tel: 978-688-9545 DEBRIS DISPOSAL FORM In accordance with the provision of MGL c 40 S 54, a condition of Building Permit Number is that the debris resulting from this work shall be disposed of in a properly licensed solid. waste disposal facility as defined by MGL c11,S150A. The debris will be disposed of in: PEABODY/ DauvEf?s - TRANSFER. ST'Ai-s on/ (Location of Facility) C•�ay.yocr Signature of Permit Applicant FEB 8 2002 Date NOTE: Demolition permit from the Town of North Andover must be obtained for this project through the Office of the Building Inspector RUBSISH kJOVAL. VY: KCN SGM i SAJ-D C/o 7.4 M`/2Tt.6 sr. M C L -R OsE/ MA • (T81) GGss— 7017 C/) m C/) Cl) m v F C � � d CO) Cl) CD n Z H O CL =• y a� -v cD o p CD o CD CD o CD 3 mw C CD y CD d O y cm CD c ?� O m S d O O y O O O m C9 co y0an m Z ?� H m N T =ro aid o con O O m N p --� O m m a 7 O c m O m �. 0 O O OZ OLD. n N o: O � o V/ CD m N ; 'Z7 c n mCD ; Z n "' 0 \ 2 H cn \� N O ` �mCA 0 y 1 1 Z�C=D o� Cn Gly3 c� z �mo�z C CD IACDcn A Cn m H cir CL C -JC: o 0 Cn o Cl) rx a ^rl 2 ;h �r1 w ,"�f ro 'rf RGQ JC1 T1 w n 7� C GQ "r7 0 Cn cp CA 0 GA y 0 0 c Date.:. 1 G..`.. t TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING i/ This certifies that `7 ............. has permission to perform ... .41L. c ................. . plumbing in the buildings of ../ MIX- X 1.... ............. . �........... , North Andover, Mass. at .../... ��c .<...s�.�..... . . Fee ......... Lic. No..! ?.q . ! . ........ �. L .....:.:1 ........ PLUMBING INSPECTOR Check # 1 `_ 5145 MASSACHUSETTS UNIFORM APPLICATION/FOR PERMIT TO DO PLUMBING (Type or print) / NORTH ANDOVER, MASSACHUSETTS 1 Building New ❑ of Renovation �v Replacement 0 FIXTURES Date Z - /-7- G 2— Permit #_ Amount Plans /�-- Plans Submitted Yes ❑ No E] (Print or type) Installing Company Name_.&,4 jp �, L� �n��' Check one: Corp. Certificate ❑ Address A L i 5 �./ ❑ Partner. Business Telephone O /�J $Z r - 3816-G 57- CIO D, firm,/Co . Name of Licensed Plumber: lAe- Lj,<G Insurance Coverage: Indicate the type of insurance coverage by checking the appropriate box: Liability insurance policy Si/ Other type of indemnity ❑ Bond Insurance Waiver. I, the undersigned, have been made aware that the licensee 11three insur ce see of flus application does not have any one of the above Nignatu z 1, Owner❑ 0 Agent I hereby certify that all of the details and information I have submitted (or entered) in above application are true and accurate to the best of my knowledge and that all plumbing work and installations performed der Permit Issued for this application will be in compliance with all pertinent provisions of the ;Massachh�iuisett-Sstaum oe and ter 14 f the General Laws. By: r Title Type of Plumbing License City/Town �. APPROVED (oFmcE USE ONLY Lice nse um er Master ZI Journeyman Date.....'.` ..-. : ......... TOWN OF NORTH ANDOVER PERMIT FOR GAS INSTALLATION This certifies that ................ has permission for gas installation ................ in the buildings of ....... er. ................. at ....f...:. .,)h(. . I ............... North Andover, Mass. Fee...).. ... Lic. No.. ...... ..................... GAS INSPECTOA Check# / ) � e 3:41 MASSACHUSETTS UNIFORM APPLICATON FOR PERMIT TO DO GAS FITTING (Type or print) NORTH ANDOVER, MASSACHUSETTS Date 7—/ Building Locationslf4 �PtriyAl," Z Permit # _ Amount $ Owner's Name WC AIJA�1 New ❑ Renovation El Replacement ❑ Plans Submitted ❑ (Print or type) / C�k one: Certificate Installing Company Name— �(��/.�6L%/�i1� -ac u4slItI ❑ Corp. Address w ;ED ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter ,01ay r INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes C-- No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ r 1-1... :13. u— ..11 _r.t- '-'-''- - - � . _., -- ,,.. ,,....., —.., a„u nuv1n1R11U,1 1 116VG buv1111uea kor entereo) In anove application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Colas Code and Chaptf 14? of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber l -2,:� -Z/ ❑ Gas Fitter TE icense Number Master LM Journeyman F-2 1� MINOR ,7TH. FLOOR :6TH. FLOOR (Print or type) / C�k one: Certificate Installing Company Name— �(��/.�6L%/�i1� -ac u4slItI ❑ Corp. Address w ;ED ❑ Partner. ❑ Firm/Co. Name of Licensed Plumber or Gas Fitter ,01ay r INSURANCE COVERAGE Check one: I have a current liability Insurance policy or it's substantial equivalent. Yes C-- No ❑ If you have checked yes, please indicate the type coverage by checking the appropriate box. Liability insurance policy ❑ Other type of indemnity ❑ Bond ❑ Owner's Insurance Waiver: I am aware that the licensee does not have the Insurance coverage required by Chapter 142 ofthe Mass. General Laws, and that my signature on this permit application waives this requirement. Check one: Signature of Owner or Owner's Agent Owner ❑ Agent ❑ r 1-1... :13. u— ..11 _r.t- '-'-''- - - � . _., -- ,,.. ,,....., —.., a„u nuv1n1R11U,1 1 116VG buv1111uea kor entereo) In anove application are true and accurate to the best of my knowledge and that all plumbing work and installations performed under Permit Issued for this application will be in compliance with all pertinent provisions of the Massachusetts State Colas Code and Chaptf 14? of the General Laws. (OFFICE USE ONLY) Signature of Licensed Plumber Or Gas Fitter ❑ Plumber l -2,:� -Z/ ❑ Gas Fitter TE icense Number Master LM Journeyman