HomeMy WebLinkAboutHot Work Permit - Hot Work Permit - 285 HOLT ROAD 9/18/2019 7
Application for Standard Permit ~
FP-006 1
(Rev. .20.2o'ts) 4 Return completed application to; 41
Permit Number: DIG SAFE NUMBER
City or Town: North Andover
Date:
9118119 Start Date:
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by 978-688-9011
(Full Name of Person,Firm or Corporation) (Phone Number}
of 285 Holt Rd., North Andover
(Address:Street or P.D.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested) Perform cultin and/or welding at the address listed below.
All applicable portions of 527 CMR 1,00 Ch 41 and NFPA 51 B codes and/or standards must be followed.A 4 hr fire details]may be req`d by NAFD
Proper extinguisher and/or hose must be provided during work.Fire protection curtains,mats andlor blankets are to used if necessary
Name of Competent Operator(if applicable) Kevin Beauregard Cert. No.
Date Issued-rejected 9/18119 By
le
(Signature of Applicant)
Date of expiration 9121/19 Fee $50 Amount Paid$ $50
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/Claulnz
FP-006
(Rev.1..2018) PERMIT
City or Town: North Andover [DIG SAFE NUMBER
Data: 9/18/19
Start Date:
Permit Number(if applicable):
In accordance with the provisions of M.G.L. Chapter 148,as provided in 10A this permit is granted
to Wheelabrator North Andover,285 Holt Rd_
(Full Name of Person,Firm or Corporation)
for Perform cutting andlorwelding at the address listed below.All work must he done[Ti accordance wl 527 CMR 1 Gh 41 and NFPA5113.Min.4 hr fire detail[s]may be req'd by NAFD.
Restrictions: All applicable portions of 527 CMR 1,00 Ch 41 and NFPA 51 B codes and/or standards must be followed.
at Wheelabrator North Andover,285 Holt Rd,for removal/cutting of rebar from Tipping floor surface
(Street and 9 or Describe Location for Adequate Identification)
Fee Paid$ $50 y^ his will expire on 9/21.11.9
Signature of Official Granting Permit: bL Title FRO
This permit must be con icuously posted upon the premises _._...