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Date...-;: ......../ . � .......Ip..........
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ..... ) ...... ........ . ...................................
haspermission to perform ................................... -' ..................I..................
wiring in the building of .........................................
...................................... . North Andover, Mass.
.1 7
Fe9110................. Lic. No .............. I .............................. ......... :. .............
- ELECTRICAL INSPECTOR
02/23/99 11:()5 100'00PARK: Treasurer
WHITE: Applicant CANARY: Building Dept.
THE'C 0A M AffE4LTHOFMAS'SAQHII= Office Use only
D0ARTM1DNT0FPUBLrS4FM Permit No. c7�)Cp�/
BOARDOFFIREPREVFM70NREGULATIO1�tS527CMR �s
' Occupancy & Fees Checked ��
APPLICATIONFOR PIIZ1V11T TO PERFORM ELE=CAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 4 (�
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat T
Town of North Andover To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below.
Location (Street & Number) ST D►,v�
Owner or Tenant .Z�(/,1/•P/—
Owner's Address 01 U / AvieJ _� 7. — ew rol -e e /y
Is this permit in conjunction with a building permit: Yes [= No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts 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 1U.1 e do ,New V077767157 SLST Pte•IF OF ( //,T
No. of Lighting Outlets
No. of Hp( Tubs
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool AboveBelow
Generators
KVA
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
1 No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local Municipala
Other
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
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OWMEWSWAN R Iama6 a=datdrL=mdoes_rttteinstra>ceoo or sti> le tasta�tmt�by xse�C�a�ervlLaws
aodfiatmysi�tsarntt>tsPeut�,eppf+�octwai�es�«�nart. 1,
(Please check one) Owner M Agent E3
Telephone No. PERMIT FEE $ �d�