HomeMy WebLinkAboutMiscellaneous - Avery Park Way (2)No 3 3 c' G Date ..,/. li !.... dl
0"*,- ° '• "a TOWN OF NORTH ANDOVER
4100 a
PERMIT FOR WIRING
This certifies that ........t..'. Q X11 to d u �= i `P C A t'z
.......................................................................
has permission to perform �'
wiring in the building of ....14 .r. `5 I t (~' ( �—
F
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at .....1 ..... JF «'2... `. d �C!t.................North Andover,
Mass.
Fee......t Lic. ........
ELECTRICALINSPECTOR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
Office Use THEC0W0AW 4LTHOFVTMAMCHUSE77S onq
DEPARTAfOFPUBLICSAFM Perm2ly it No. 3 ✓ f J�
BOARDOFFIREPREVEM ONRWUMTION.S527CMR]2.'(X!
� Occupancy &Fees Checked
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL 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) Dat O ?J
Town of North Andover
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number)
Owner or Tenant t
Owner's Address 10 W
Is this permit in conjunction with a building permit: Yes ® No
Purpose of Building S; "3G, —OPN Y\ t � V L,>p `k i 1�3 a-,
To the Inspector of Wires:
(Check Appropriate Box)
Utility Authorization No.
Existing Service AQs�/ Volts Overhead En Underground M No. of Meters
New Service Amps / Volts Overhead r --J Underground r --J No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work Bwr4mwaP t
e
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Total
KVA
,No. of Lighting Fixtures
Swimming Pool Above
M
Below
Generators
KVA
I
ground
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
Other
No. of Dryers
Heating Devices KW
Q Connections
a
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
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OWNER'SPWRANCEWAIVER,I.amawatetha *cLi=e etkteit�traneoae orilssuts�trlialeigrivaie Itastac madbyMasS<Idxsei�C,aletalLaws
andiatmy aeatihispemitappbca6mv i%esditsIegiwerrlat
(Please check one) Owner M Agent /Iy , dO
Telephone No. PERMIT FEE $ (�