HomeMy WebLinkAboutMiscellaneous - Exception (516)TOWN OF
SYSTEM PUMPING RECORD
DATE: l 1
t
APR 16
SYSTEM OWNER & ADDRESS
DATE OF PUMPING:
SYSTEM LOCATION:
(example: left front of house)
QUANTITY PUMPED: ( GALLONS
CESSPOOL: NO YES SEPTIC TANK: NO YES
NATURE OF SERVICE: ROUTINE EMERGENCY
OBSERVATIONS:
GOOD CONDITION
HEAVY GREASE
ROOTS
EXCESSIVE SOLIDS
SOLIDS CARRYOVER
FULL TO COVER
BAFFLES IN PLACE
LEACHFIELD RUNBACK
FLOODED
OTHER (EXPLAIN)
SYSTEM PUMPED BY: Bateson Enterprises, Inc.
COMMENTS:
CONTENTS TRANSFERRED TO: G.L.S.D Lowell Waste
N2 2976
NORTH
. D I
0
Date.. -'v
.......................
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that ........................... g�-'
....................
.........................................
has permission to perform ........
wiring in the building of ......... : ......................................................
at North Andover, Mass.
Fee..................... Lic. No . ............. ... 4—e� ......................
ELEemcAL INSPECIMIR
Check #
WHITE: Applicant CANARY: Building Dept. PINK: Treasurer
THE OOMMONWEAL1HUtttce Use only
'7
DEPARTMEIVT0FPUBLIC&4FM Permit No. /
BOARD OFMEPREVEVHONMGUL4770A S 527CMR 120
Occupancy & Fees Checked
iPPUCARON FOR PElRW TO PER 01M ELECIT2ICAL WORK
ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, S27 CMR 12:00 Z
Q/
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) DatZZ 7
Town of North Andover
The undersi>;ned applies for a permit to perform the electrical work described below.
Location (Street 6
Owner or Tenant
Owner's Address
To the Inspector of Wires:
Is this permit in conjunction with a building permit: Yes
Purpose of Building
11
No a (Check Appropriate Box)
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
No. of Lighting Outlets
No. of Hot Tubs
V
No. of Transformers
Total
KVA
No. of Lighting Fixtures
Swimming Pool Above
Below
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
Pum s
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
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
OTHER
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Telephone No. PERMIT FEE