HomeMy WebLinkAboutMiscellaneous - 975 FOREST STREET 4/30/2018Date...... t�.-..�.".�..
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
—
This certifies that ..................L.0 ..... .e.L................... ''J./.. L-..
has permission to perform ...... !� rC
...................................................................
wiring in the building of ........... JL 'n....... ........................
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at .......... /.7:-E............. `' �� S.S/North Andover Mass.
................ .........................n,
Fee... s........ Lic. No.............. ......... �ti ? C�..t ':......
EL�EcTRICAL INSPECTOR
Check # 727!r
1f : CO L 101VfE4LTHQFi1'fi4S-li iCBUiSEnS Office Use only
DEPAR77bIDVT0FPUBLIC.S4FE'P7 Permit No. 6
BOARD OFFIREPREYEiVI70NREGUL4TIOA SSZ7ai fR 12.01
Occupancy & Fees Checked
APPUCA77ONFOR PERMIT TO PEUORMELECTR.ICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date -74LO
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) 975' Fdw e S T 34—
Owner
4—
Owner or Tenant
Owner's Address
To the Inspector of Wire;
Is this permit in conjunction with a building permit: Yes � No a (Check Appropriate Box)
Purpose of Building t4: i `ke"s a'ev-e o,V P,6"O.V, Utility Authorization No.
Existing Service 20d Amps 12o / ZY olts
Overhead a 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
No. of Lighting Outlets No. of Hot Tubs
b
No. of Lighting Fixtures Swimming Pool
L�
Above
and El
Below
ground
No. of Transformers
Generators
Total
KVA
KVA
No. of Receptacle Outlets
� �
No. of Oil Burners.
r No, of Emergency Lighting Battery Units
No. of3witch Outlets
1
No. of Gas Burners
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
Wtiating Devices
No. of Dishwashers �+
Space Area Heating
KW
No. of Sounding Devices
P, e—O ys A+RrQ • 7
No. of Self Contained
.�.
No. of Dryers
Heating Devices
KW
Detection/Sounding Devices
LocalMunicipal
Other'
No. of Water Heaten Kw
u„ ,.r
— _1
Connections
a
No. Hydro
No. of Motors Total
OTHER. M4 aro ws^t•r� t S V
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(Please check one) Owner M Agent M
Telephone No, PERMIT FEE 6
This certifies that
Date..
a;
TOWN OF NORTH ANDOVER
PERMIT FOR PLUMBING
has permission to perform ......... // 4.-�. - �..................
plumbing in the buildings of .. 4:..1 a�
at .. ... f i .. �.�.... , North Andover, Mass.
r'
Fee.-�C'.....Lic. No. /J)- `. P;� /i t-' �� !��............
�' PLUf4BIpi INSPECTOR
Check
MASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING
(Type or print)
NORTH ANDOVER, MASSACHUSETTS
y� ��/ u / S rDate —yam
Building Location 97S Orte.S'L�"S>1 Owners Name Permit # D
Amount 3G
Type of Occupancy
New Renovation Replacement 0/ Plans Submitted Yes No
Ej-
FIXTURES
(Print or type)(' Check one: Certificate
Installing Company Name u St ICES" El Corp.
. e#4Address AN� roa
❑ Partner.
Business Telephone — Q E] . Firm/Co.
Name of Licensed Plumber:
Insurance Coverage: Indicate th pe of insurance coverage by checking the appropriate box:
Liability insurance policy Other type of indemnity ❑ Bond
Insurance Waiver: I, the undersigned, have been made aware that the licensee of this application does not have any one of the above
three insurance
Signature IOwner ❑ 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 under Permit Issued for this application will be in
compliance with all pertinent provisions of the Massachjmetrs-3tate P bin o nd Chapter 14 of the General Laws.
By: igna ur icense um er
Title Type 4 Plumbing License
City/Town icense um er Master/Tourneyman
APPROVED (OFFICE USE ONLY
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