HomeMy WebLinkAboutMiscellaneous - Train SignalSUC1'.9/(Il►7C1v� vt �uva.ta .ru s;.. Permit No.
BOARD OFF7REPREVM0NRWUL TI0AS527CVfR12.00
Occupancy & F hected
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APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORNM IN ACCORDANCE WITH THE MASSACHf ssTS ELECTRICAL CODE, 527 CMR 12:00
O (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date
Town of North Andover
To the Inspector of Wires:
The undersigned applies for a permit to perform the electrical work described below. � i
Location (Street & Number) // p'/7 /�� ��jl i9 h�C &'-'1,2). ��e` O /DO1P • j y%U
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Owner or Tenant _ /i%/q,S•S 1Jeq Y eo /A /ti• - /C /9 1 lJ
Owner's Address ,/.3o2 Z A 5-/-/4d;g TGA C ll
Is this permit in conjunction with a building permit: Yes M No ® (Check Appropriate Box)
RMS I B11049 N/4 L RAoTFC /ON XPi• v!G e Utility AuthorizationNo.,?/Yo,
Existing Service Amps�Volts Overhead a Underground No. of Meters
New Service 1i Amps/Za� 1Z ycVolts Overhead ®Underground Q No, of Meters
Number of Feeders and Ampacity !
Location and Nature of Proposed Electrical Work S s w 14 L S
No. of Lighting Outlets
No. of Hot Tuba
No. of Transformers
Total
KVA
Na of Lighting Fixtures
Swimming Pool Above
0
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
Pumps
Tons
KW
Initiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local - Municipal
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Othe
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