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Home My WebLink AboutMiscellaneous - 9 WALKER ROAD 4/30/2018 (5)14 A b M ru n- rq ru OFFPC�AL USE co /Postage $ � O Certified Fee J J M Postmark O Retum Reclept Fee Here (Endorsement Required) M ResMcted De'very Fee -� (Endorsement Required) nj rU Total Postage & Fees $ (5, p / Sent To O --------------------- �� pro.; or PO Box No. Ae, 2�Y Certified Mail Provides: (as�anayj ZopZ eun�'pp9E Wood Sd ■ A mailing receipt ■ A unique identifier for your mailpiece ■ A record of delivery kept by the Postal Service for two years Important Reminders: ■ Certified Mail may ONLY be combined with First -Class Mail® or Priority Maile. ■ Certified Mail is not available for any class of international mail. ■ NO INSURANCE COVERAGE IS PROVIDED with Certified Mail. For valuables, please consider Insured or Registered Mail. ■ For an additional fee, a Return Receipt may be requested to provide proof of delivery. To obtain Return Receipt service, please complete and attach a Return Receipt (PS Form 3811) to the article and add applicable postage to cover the fee. Endorse mailpiece "Return Receipt Requested". To receive a fee waiver for a duplicate return receipt, a USPSe postmark on your Certified Mail receipt is required. ■ For an additional fee, delivery may be restricted to the addressee or addressee's authorized agent. Advise the clerk or mark the mailpiece with the endorsement "Restricted -Delivery". ■ If a postmark on the Certified Mail receipt is desired, please present the arti- cle at the post office for postmarking. If a postmark on the Certified Mail receipt is not needed, detach and affix label with postage and mail. IMPORTANT: Save this receipt and present it when making an inquiry. Internet access to delivery information is not available on mail addressed to APOs and FPOs. ■ Complete items 1, 2, and 3. Also complete item 4 if. Restricted. Delivery is desired. ■ Print your name and address on the reverse so that we can return the card to you. ■ Attach this card to the back of the mailpiece, or on the front if space permits. 1. Article Addressed to: A. X B ❑ Adc ,y (Pante Name &Date of C address differentm 'tem 1? 11Yes :er delivery oddress be ow: _—❑]No OCT 1 0 2007 3. SServii Type„ 8'Ce ified fvlail `! QjExpress Mail J ❑ Rejistered—O-Return Receipt for Merchandise ❑ Insured Mail ❑ C.O.D. 4. Restricted Delivery? (Extra Fee) ❑ Yes 2. Article Number (Transfer from service label) 7003 2260 0006 8627 1886 DC Cn..., _2A1 1 Coti...... onnn n.....—+;, Der..... De,.e,... .-- ,.., .. —1- UNITED STATES Pwo#A-EftVel- }- A 01:8 • Sender: Please print your name, address, and ZIP+4rr this box • NORTH ANDOVER HEALTH DEPT. 1600 Osgood Street Building 20, Suite 2-36 North Andover, MA 01845 raa.� 111„�.�„tlt,.f„f,�fJ�f��,1Ht,�:�f�►II��LI�it�l:1�� NORTH ANDOVER HEALTH DEPARTMENT 27 Charles Street • North Andover, MA 01845 Tel. 978 688-9540 • Fax: 978 688-9542 email: healthdept@townofnorthandover.com Complaint Investigation/Inspection Report �9 Date.......�� °t"`°:•'"° TOWN OF NORTH ANDOVER .P '• °L p PERMIT FOR WIRING I r r f i L (fl) This certifies that' ' .............................................................................................. has permission to perform .........L� ' - �)G '� ! ............................................................. wiring in the building of ........... /.v..0 P ��✓� ........................................................... at......./..�...�/!................................. N h Andown ....... Lic. No ...........Fee ...........:. .............. ... ............... CTRiCAL INSPECTOR Check # �i1 j_ Commonwealth of Massachusetts Department of Fire Services BOARD OF FIRE PREVENTION REGULATIONS Official Use Only Permit No. V Occupancy and Fee Checked [Rev. 11/99] leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (NEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: G - ;;,-- OZ City or Town of: 1), 4NI)17 Z--I� To the Inspector of Wires: By this application die undersigned gives notice of his or her intention to periform the electrical work described below. Location (Street & Number) 9 Wl&k =12 Owner or Tenant X t,Cf>,9/2,9 "5r -Z -IL Telephone No.9 2 - � 15-, 36 39 Owner's Address M In Z -- Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building -&g/ -'/V� /,O L Utility Authorization No. Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters New Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity • Location and Nature of Proposed Electrical Work: IJ 4T � C L �/I �� j L, r Zl ,?a&I—/ / 13JgC/ 49,'$RD 1 Al a4 ,-410.%4-) Com letion o the ollowin table ma be waiv d b th 1 W' Attach additional detail if desired, or as required by the Inspector of Wires. 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjurv, that the information on this application is true and complete. FIRM NAME: Express Electric Unlimited LIC. NO.: A 12757 Licensee: Yan Kener Signature LIC. NO.: (If applicable, enter "exempt - in the license number line.) I Bus. Tel. No. 877-263-2500 Address: PO Box 1169 Everett, MA 02149-1169 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that die Licensee does 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Vo, ao nLYe1�y ens eetot o ares. No. of Recessed Fixtures No. of Ceil.-Susp. (Paddle) Fans No. of Total Transformers KVA No. of Lighting Outlets No. of Hot Tubs Generators KVA No. of Lighting Fixtures Swimming Poolbove E]In- El o mergency ig mg rnd. rnd. Battery Units No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones No. of Switches No. of Gas Burners No. of Detection and Devices No. of Ranges TotaInitiatin No. of Air Cond. Tons l No. of Alerting Devices No. of Waste Disposers Heat Pump Number ...... I TonsKW .............. ........................ No. of Self -Contained Totals: Detection/Alerting Devices No. of Dishwashers Space/Area Heating KW Local ❑ Municipal ❑Other Connection No. of Dryers Heating Appliances KW ecurity ystems: No. of Water No. o No. o No. of Devices or Equivalent Heaters KW Signs Ballasts Data Wiring: No. of Devices or Equivalent No. Hydromassage Bathtubs No. of Motors Total HP Telecommunications Wiring: No. of Devices or Equivalent OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. 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 coverage is in force, and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE ® BOND ❑ OTHER ❑ (Specify:) Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date) Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion. I certify, under the pains and penalties of perjurv, that the information on this application is true and complete. FIRM NAME: Express Electric Unlimited LIC. NO.: A 12757 Licensee: Yan Kener Signature LIC. NO.: (If applicable, enter "exempt - in the license number line.) I Bus. Tel. No. 877-263-2500 Address: PO Box 1169 Everett, MA 02149-1169 Alt. Tel. No.: OWNER'S INSURANCE WAIVER: I am aware that die Licensee does 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 agent. Owner/Agent Signature Telephone No. PERMIT FEE: $ Vo, ao