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DEPAMMOMBLAMUM
BQABDO�FFMPREVEYMN RBGVL4?1� MM7C m,a..w Permit
OmP%� & Fees Checked
APPUCARONFOR PE ?Aff TO PERFORM ELECTRICAL WO
Ail. WoAK To BE FEMRMBD IN ACCORDANCE WITH THE MAMACHUSSTS M-EMICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN WK OR TYPE ALL INFORMATION) Data
Town of North Andover -b4ta, r' AL To the Inspector of Wires:
The undersigned applies fora rrt to perform the electrical work described below.^,*
Location (Street & Number) �� �� ���'t �j \ i1� bU�-4\\
Owner or TenantC;7 mc-N,� . �C.1\o
Owner's Address
Is this permit in conjunction with a_bbuuilding permit: Yes E] No ® (Check Appropriate Box)
Purpose of Building ��� Utility Authorization No.
Existing Service Amps. olts OverheadUnderground M No. of Meters
New Service Amps\aVolts overheadUnderground C3 No. of Metes =
Number of Feeders and Ampacity
Location and Nature of proposed Electrical Work ��� �l"Lti� M \"� �c�(1 \�,\i U7777�V7\ vin
Na of Liahtina Ostlers
Na of Hot Tube
No. of ma banes
Total
KVA
Na of Lfandns Rio=
Swbnmb4 Pool Above
Betow
Qneratae KVA
No. of Eumpacy L.i&Wg Battacy Units
No. of Rece0ade Outlatt
No. of oN Borsae
Na of Switch outlsu
No. Of ties Hmners
FM2 ALARMS
No. Of Zonis
No. of Ranaas
No. of Air Cad. TOW
Toes
No. of Det edm and
No. of Dispoub
Na of Haat TOW Total
Pa
Ton
Kw
Inidadua Desks
Na Of Souadina Devices
No. of Dishwashers
Spece Area Hestina Kw
Na Of Self Contained
Devices
L,acd Mmdcapcip d
Cottrrectiore
Othw
No. of Dryme
Hestina Device Kw
No. of Weser Heaters Kw
No. of No. of
—Sim@
Bsilask
No. Hydro Muscae Tuba
Na of Moax
Total Hp
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(Please check one) Owner Agent
Telephone No. pBRwr FEB s = �