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HomeMy WebLinkAboutMiscellaneous - Johnson Circle (2)_ G� Date .... r,/I .. ... ...... .... //,/.... 69 TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ...../ .1................../.......................................... has permission to perform ...... fl.... . - ,f .. ( .. C ....................... ,wiring :n the building of .... ........ d. 41 XI � " , .......... I ......... C�,/, " ............. 1, ro U at........................................... ................... N h Andi Mass. Fee...J....'a .......... Lic. No. 4........... ELECTRICAL INSPECTOR Check # The Commons. coon- of ` M ssochusetis : Dtportrltrlt of Public Sofcty BOARD OF FIRE PREVENTION REGULAT)ONS S27 CMR bruit �. 4cUP&Mr ♦ ir• b..cW 12:00 3190 ct••.. ►�.�►) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK AX work to be performed tri accordrncc With the Msojchutery Vectrksl Cat, $21 CHR 12.00 (PLEASE PRINT IN Zh'R OR TYPE ALL Ih-FOMATION) Date City or Toum of,/�d��i% Gj%IGfI/l/`r� To the Insptcto of Vires: The undersigned applies for a pernit to ptrform the electilcal work described below. Location (Strtet b }Prober)L) o /'/1't�%� �' %t i2CJ,.p- Owner or Ttaant O+ner`s Address Is this perait in conjurKtion v1th a building pe r itr Yes ❑ No ❑ (Cbcck Appropriate lox) purpose of building Utility Authorisation N0._ 115 a 15L;? 3 Existing Service hsps / Volts Overhead ❑ Undjrd ❑ Ko. of Fkttrs �Cw SerPice Daps % Volts 8vtrbtad ❑ imdgtd ❑ Ko. of Hellas F=ber of Feeders and A=pacity .Location and Nature of propostd Electrical Work /�rj%_4,p Ile( e `wp S t091/e C -/, No. of L1 htin Outlets 8 8 No. of Bot Tubs Total No. of 7ransfor�ers TVA No. of Lighting Fixtures 5411=rim Fool Above 8 rnd. IT ❑ grnd, ❑ Gcner:tors VA No. of teceptacle Outlets No. of Oil burners No. of Emergency Lightint battery Units No. of Switch Outlets No. of Cas burners FIRE IIAMS No. of zones No. of Detection and . Initiating Devices No. of Sounding Devices Ko, of Self Contained Detection/Sounding Devices Local ❑ HanicipalOther Connection[] No. of Ran es g Total No. of Air Cond. tons No. of Dis po sacs No. of Neat Total Total Pu=ps 12neV No. of Dishwashers Space/Area Heating At No. of Dryers Heating Devices K4 No. of Water Feattrs KW No, of N7 of Si ns ballasts Low Voltage Virinit Vo. Hydro Y.3ssage Subs No. of Fbtors Total HP INSUWCE COVrRACE: R:rsuant to the requiremtnts of F'.assachusetts Central Laws I have a current Liabilit Insurance Policy including Coipleted Operations Coverage or its substantial equivalent. YES O NO I have submitted valid proof of same to this office. YES ❑ NO If you have checked YES, please indicate the type of coverage by checking the appropriate box. INSLr1j1►i1—E 0 BOND ❑ O—Lln ❑ (Please Specify) Transportation Ins. 2� 4_ �, EsttrLstcd Value of Tlectrical Lock S Expiration te) Work to Start . Inspection Date Fequested: Pzugh Final Signed under the penalties of perjury: F1RY NAF.£ Perin & Campbell Electric Inc. LIC. No. 17031A Licensee I` Ci%Or &/`y�- Signature LIC. NO.Z-- Address 178 Nahant Str Pt Wakefield, MA But. Tel, No' — 781-245-0921 Alt. Tel. No. O TiR`S INSURANCi WAIVER: I a= aware that the Licensee does not have the insurance coverage s su - stantial equivalent as required by Y,assachusetts Ceneral ws, and that ty signature on t permit application waives this requireyent. O -ner Agent (Flease check one) � e Telephone No. PEPe'll E S Signature of O.rner or Agent • `'` The Comrnonweofih of M ssochusetisa(d Dtportment of Nbtic &jc y ��ratt �. &c up,t t & t« **c Led BOARD OF FIRE PREVENTION AEGULAT10hlS 527 CMR 1210 31to (141.4 APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All *%,rl< to be pesiorned In aceord,nee With the Mawchvsetts Vectrtcal We. $77 CHR 12.00 (PLEASE PRINT i2i ih'F OR TYPE ALL Ih-FORKAIJON) Date 41ZOAZP-0--o City Or Tova of 70 the Inspector o Wires: The tvidersigned applies for a permit to perforce the electiical work described belov. Location (Street b Humber) -To,n-5a iwele Ovner or Ttnant /1r'a�7h O-ntres ,address WAd Is this remit in conjunction with a building peraitt Yes U NO ❑ (Cbeck Appropriatt Eox) Arrpose of Building Utility Aut2,orizAtion NO. -1525a Fxisting Service _Amps 1W / Vk�Volts Overhead ❑ t},d�d �}io. of tiettra j hcV Service 00 Asps Olt$ 4Dver'1e:ad ❑ t'dgrd❑ No. of Keters N=ber of Fctders and J--pacity'_ � � Location and Nature of Proposed rlectrical Fork (�'.%� L' l.� e% Poj,14P 5;*7tok , e hz(e 9,egj1j c -P dor- new paw No. of lighting Outlets 8 8 No. of Bot Tubs Total No. of Transformers TVA No. of Lighting Fixtures Swi=m Fl Above In- gooEnd. ❑ grnd. ❑ Generators 3 PA No. of Receptacle Ostlets No. of Oil Burners No. of F.ztrgency Lighting Battery Units No. of Switch OJtlets No. of Gas Burners FatE ALULMS ' No. of Zones No. of Dettction and . Initiating Devices `-- No. of Sounding Devices No. of Self Contained Detection/Sounding Devices Local ❑ Conicipal ]Other Canntction No. of ranges No. of Air Cond. Total tons No. of Dis po sale No. of Heat Total Total p sTons k� No. of Disbwashers Space/Area Heating rw No. of Dryers Heating Devices KW No. of WaterFieattrs EW No, ofTo.--or— Si ns Ballasts Low Voltage t'irin No. Hydro Massage tubs No. of Motors Total HP INSURANCE comuG£: Pursuant to the requirenents of Fpssachusetts General Uvs I have a current Liabilit Insurance Policy including Corpleted Operations Ccveragt or its substantial equivalent. YES ❑ NO I have submitted valid proof of same to this office. YES ❑ NO ❑ If you have checked YES, please indicatt the type of coverage by checking the appropriate box. INSURANCE BOND ❑ OI'rtiR ❑ (Please Specify) Transportation Ins. 21„ ,D „_ -�-Expirat.ion . Estimated Value of E1ec rical Work $ ted oe Work to Start Inspection Date Requested: F'Ough Final Signed under t e pe alties of perjury: FIRE, NAYX Perin & Cam bell Electric Inc. LIC. No, 17031A Licensee1% p`egtn. Signature'. LIC. No,lsL 2y� Address 17R gahant Strp-Pt Wakefield, MA Bus. Tel. Ko._ 781_245-0921 Alt. Tel. No. O:N7ERIS INSURANCE WAIVER: I as aware that the Licensee does not have the insurance coverage or its su stantial equivalent as required by Massachusetts General Laws, and that my signature on this pe application waives this requirement. O Ter Agent (Flease check one) Telephone No. PERMIT EE $ Signature of O.+ner or Agent ' it Date....�....�.�.. 3. p` „ao ,vae pL TOWN OF NORTH ANDOVER • PERMIT FOR GAS INSTALLATION This certifies that .. � A. . �' 7�. R `jj e— �Y ,o t has permission for gas installation .. .... v ...... n ....... in the buildings ofG'`'...C!..... �'`..�.... .. at ..� ° S o~'...C. .............. North A dover, Mass. Aw r� Fee. r -D �... Lic. No. (° ©5.... . . L..... 2 2.4 ........... GAS INSPECTOR Check # is. is. U l lL'1 VCCI IJ UNI F, A.I'(ulN`LF rr i 'IMIT/TO Q0 CASr=ii iiNC N ANDOVER 03 Johnson Cir Pump Stacx `_e N Atlantic Cont Inc }•{=- L=t. .ane: - � commercial --- - - IN eIFenevsitcn '_ Fepla�ment--- Funs Sucmittec: Yes'r�., Na Q Fm: I Plummer GasrttEr I I Master C.:aumevman SianM3Jr8 at U=nseat Plummer ar G Li=rMeNurnrier ln� m 50 7 V7 W n w J N � 4] C a U a � w n vi C ~ N rC N Luca a w F (nm W W a M v1 - w a < w _ — y_. a w - a — w _ < � _ � � ,� � a a w w a s= w 2 w a a 7 w = < 3 a < a < 1 a ❑ w e a In = v x a a a a SU8-85M T. BASEMENT I I I I 1ST FLaaR 2N0 FLaaR .IRO FLOG I I I I I I I I I I 4 T H FLOOR 97H FLaa.R I I I I' I I I I _I I' I I I I I I H FLaa.R- I. I:. I ... I. I L I. I I- I I I J I I I I- �..I I L I I I. 8 T H F L a a R ...._ .� •I lr==fling C-Qranany N2me E -A-5 7TE�N P H0 R 46 7 ec 0 IL Cttecic.one: Czstifictte - Address 131 'WATER ST DA.=L 'ES M -,t Q 1.9 Z 3 Carper fan 6u�irtes T eleal7mn� S Q 0 - 3 ZZ -66 2:8 T. C1. firm I Cz. Name,ofL=rzedFlumberarC-L=Fiias Merrick Teague IYSURANCE CGVE-iAGE: I have a erre iaailaty insurnt� paiic; its or sut 3MntW equivaierrt wirier nests the requiremertts at MCL C%1 42. Ye_, (a No Q !� you have ci7e�ted vP5• pl irtdicate ',he type cover ae try cttecsirtg t17e agprapd= b= ;7 A llRbillty inauran. polio anter tpy of Indemnity C - �► sorsa a CWNEFS INEURANCE WAIVER: I am aware that the licarmes dries_ n= have the insurncs caveraee required by Chapter 142 at the Mass. General Laws, and that my signature an this parinit appiira Qn waives this mcuimmerrL C:ieswC one: Owner Q. AgentC SiCnBmre of Qwn■r a� Qwn�rs Aa�rtt I hereby cerofy mat all afthe details and inrormauon I have submirma (aremered) in above application are true d a=.:r m tri the bestot Rryknwi aedce•andtttatdlplumbincwaricatdinsdlaaonsperrnn•neaundertttepermhi�edfortitisaaplicatla theism iartawidt all perment orovistans or the Massaenusetts State Gas Cade ana C%aarer 142 ofttte Ge rai Laws. Cityl7awn APPROVE GF?iCc J cCDIL`') Typearumnse: I Plummer GasrttEr I I Master C.:aumevman SianM3Jr8 at U=nseat Plummer ar G Li=rMeNurnrier ln� n �'17R7