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Date ...�.... .�. ..............
TOWN OF NORTH ANDOVER
RMIT FOR GAS INSTALLATION
This certifies that"`... .................. ... 01
e
has permission for ins allation... .............. '�...:G`�-/���.
inthe buildings of .............................................................................................
at .......... D...............!.r- ...........�,.p....... �. North Andover, Mass.
.t Lic No (�
Fee ...1 ................... �.............................................................................................
GASINSPECTOR
Check #
$//D. - :3 0'@ 5
MASSACHUSETTS UNIFORM APPLICATION FOR A PERMIT TO PERFORM GAS FITTING WORK
CITY IMA DATEEN,/!—/5 IPERMIT#
JOBSITE ADDRESS 13 OWNER'S NAME I��� p- f Z
GOWNER ADDRESS Same S S TEL— IFAX�
TYPE OR OCCUPANCY TYPE COMMERCIAL EDUCATIONAL ❑ RESIDENTIALE]
PRINT
CLEARLY NEW:❑ RENOVATION: ❑ REPLACEMENT: ® PLANS SUBMITTED: YES❑ NO[]
APPLIANCES 1 FLOORS- BSM 1 2 3 4 1 5 6 7 8 9 10 11 12 13 14
BOILER
BOOSTER
CONVERSION BURNER
COOK STOVE
DIRECT VENT HEATER
DRYER
FIREPLACE
FRYOLATOR
FURNACE
GENERATOR
GRILLE
INFRARED HEATER
LABORATORY COCKS
MAKEUP AIR UNIT
OVEN
POOL HEATER
ROOM I SPACE HEATER
ROOF TOP UNIT
` TEST
UNIT HEATER
UNVENTED ROOM HEATER
WATER HEATER
OTHER x
Replace( Gas Meters x
and Amdated i in
INSURANCE COVERAGE
I have a current liability insurance policy or its substantial equivalent which meets the requirements of MGL. Ch. 142 YES ❑ NO ❑
I IF YOU CHECKED YES, PLEASE INDICATE THE TYPE OF COVERAGE BY CHECKING THE APPROPRIATE BOX BELOW
LIABILITY INSURANCE POLICY [j OTHER TYPE INDEMNITY ® BOND ❑
OWNER'S INSURANCE WAIVER: I am aware that the licensee does not have the insurance coverage required by Chapter 142 of the
Massachusetts General Laws, and that my signature on this permit application waives this requirement.
SIGNATURE OF OWNER OR AGENT CHECK ONE ONLY: OWNER E] AGENT r-1
I hereby certify that all of the details and information I have submitted or entered regarding this application are true and accurate to the best of my knowledge
and that'all plumbing work and installations performed under the permit issued for this application will be in compliancZwtlI Pertinen rovis'on of the
Massachusetts State Plumbing Code and Chapter 142 of the General Laws.
PLUMBER-GASFITTER NAME I Robert Josey LICENSE # 9185 SIGNATU `
MP ❑ MGF ❑ JP ❑ JGF ❑ LPGI ❑ CORPORATION Q# F3788c----1 PARTNERSHIP❑#LLC ❑#�
COMPANY NAME:j RH White Construction Co ADDRESSI 41 Central St
CITY I Auburn STATE MA ZIPI 01501 DTEL 508 832-3295
FAX 508-926-4347 CELL 508-245-7431 EMAIL
ROUGH GAS INSPECTION NOTES
THIS PAGE FOR INSPECTOR USE ONLY
Yes No
THIS APPLICATION SERVES AS THE PERMIT ❑ ❑
FEE: $ PERMIT#
PLAN REVIEW NOTES
FINAL INSPECTION NOTES
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Locatiorr�S�--•�
No. n ��an 3 Date
n
NORTH TOWN OF NORTH ANDOVER
9
Certificate of Occupancy $
9
Buildin /Frame Permit Fee $
,�cMust
Foundation Permit Fee $
Other Permit Fee ��J, $
TOTAL $
C'
Check#
15988
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Town of North Andover
OFFICE OF
COMMUNITY DEVELOPMENT AND SERVICES
WILLIAM J. SCOTT
Director
(973)683-9531
E stah1isliment:
Address:
27 Charles Street
North Andover, Massachusetts 01845
3n G)
l :'
Ta , enhcne : QatEa• -lam-moi
Person Spck-=n With:
Cwr er R T 1 1-- �c
F� p
M
a
* \G'HusE/
Fax (978) 688-9542
Cn this day an insrecticn was rade of your waste receptacle area.
Your was -::a racactacle area was found L,—c 1 a —=ill d1r'Y_ and the
CCVer Gf VOL'; waste receptacle was Tclln4 L.-' in Qecd repair
in t:ccr _ Ca r and Closed not keit C! Osed. - —
other CcMM-ents
P
-'10.600 Stcrage c Gari -age and aubG15.a - C-ar cCe/-Ruh.7ish-
shall be Stcrec- in wacer`1Cnt receptacles with
ti C t -Li ttinG' ccVers . Said rec- tacles and covers
shall be cf metal c= other durable, rcdent--�crccT
material.
i
C. C0_ C^.1 leCtGn c%
Gar: ace
and L Gish
- T hE Ci,vrEr C'
anv dwell irc
shall he
re=rcnsible
far the Tina
ccllec-z cn or
ultimate
a-1 =sal or
incineration of
caro ace and
ty means
cf a regular
collection system approved by the Ecard
of Health.
410.602 Maintenance of areas free from Garcage and Rubbish
(A) - The ow-ner cL any caecal C: land, vacant cr
otherwise, shall Ge res -cors -4 -'le for maintaininc
such parce�\ c- land _n a clean and sanitary
ccna', za c i and i= ee `ram Cariac'e, r hb i sh c'_" ether
ref'�se. The ow-ner of s cl- Farc 1 of 1 nd shall
cc=acz ar.,7 ccnC_ticn caused zy or on such carcel
Cr it-- a, puruenance wI _Cn a=aeC-s t- e rieal-�.^_ G=
s t -y, , and well-Cei-c c- t_ ^_e cccu_ ant= of anC
d, ellinC Or Cf, t e general 3:llb'1;c.
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THE COMMONWEALTH OF MASSACHUSETTS
TOWN OF NORTH ANDOVER
BOARD OF HEALTH
Date: December 31, 1998
Fee: $25.00
Permit#: 171-9
This is to certify that: PUTNAM CARD .1& GIFT
tSHOPPEB, INC.
NORTH ANDOVER MALL, 350 WINTHROP AVE., NORTH
is hereby granted a
DUMPSTER PERMIT
This permit is granted in conformity with statutes and ordinances
relating thereto, and expires December 31, 1999 unless sooner
suspended or revoked.
1011,
Gayton Osgood, Chairman
1
Francis P. MacMillan, M.D., Member
Joh . Rizza, D.M.D., Member
TOWN OF NORTH ANDOVER/
BOARD OF HEALTH
DOWN OF NORTH ANDOVER
Putnam Cards & Gifts BOARD OF HEALTH �®
350 Winthrop Ave. 27 CHARLES STREET
North Andover, MA 01845
r_)RTH ANDOVER', MA 01845 F
TELEPHONE# (978) 688-9540
APPLICATION FOR DUMPSTER PERMIT
PURSUANT TO SECTION 31A AND 31B OF CHAPTER III
OF THE GENERAL LAWS, AND RULES ANDREGULATIONS OF THE
NORTH ANDOVER BOARD OF HEALTH
DATE:
Application is ,her,eby made for a permit to maintain a
dumpster (s) on pzc;perty located at 4111w,!5;rl /f'J/-ILL
in accordance with the rules and regulations of the Board of
Health.
Number. of Dumpste!rs :
Check use:
( ) Residential use ( ) Commercial use
( ) 30 day temporary Annual
Name of applicant: PUTNAM CARD & GIFT SHOPPES, INC.
Owner of property: DELTA & DELTA REALTY TRUST
Telephone# : ( PCG) 508-389-1800
Dumps ter Company: BROWNING -FERRIS INDUSTRIES (BFI)
Telephone# : 617-254-1800
Pick -Up Schedule: EVERY 3-4 DAYS
Trash Contractor,:, SAME AS ABOVE
Frequency of Pick -Up:
On the bottom half of this form, please sketch'an outline of
property, showing the proposed location of the dumuster(s).
Give distance from dumpster to other buildings and lot lines
or boundaries. Use back side if additional.. space .is needed.
Please return. this application with a fee of $25.00 per
establishment, late fee after January 1"' will be doubled
the cost - $50.00 to the Town of North Andover, Board of
Health Office, Town'^Hall Annex, 146 Main Street, North
Andover, M A 01845'.
11
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