HomeMy WebLinkAboutplan review - resubmittion - Receipt - 130 REA STREET 11/18/2019 MONTH / Town of North Andover HEALTH DEPARTMENT ,SStCN1s�� CHECK#: /C DATE: // ��� LOCATION: H/O NAME: 6�JQ-o :z C 0_C'.1_ CONTRACTOR NAME: 0,a O T_yRe of Permit or License:(Check box) ❑ Animal $ ❑ Body Art Establishment $ ❑ Body Art Practitioner $ ❑ Dumpster $ ❑ Food Service-Type: $ ❑ Funeral Directors $ ❑ Massage Establishment $ ❑ Massage Practice $ ❑ Offal(Septic)Hauler $ ❑ Recreational Camp $ ❑ Sun tanning $ ❑ Swimming Pool $ ❑ Tobacco $ ❑ Trash/Solid Waste Hauler $ ❑ Well Construction $ SEPTIC Systems: ❑ Septic-Soil Testing $ ❑ Septic-Design Approval $ ❑ Septic Disposal Works Construction(DWC) $ ❑ Septic Disposal Works Installers(DWI) $ ❑ Title 5 Inspector d $ ❑ Title 5 Report l�J� $ Other:(Indicate) I f� $ Health Agent Initials White-Applicant Yellow-Health Pink-Treasurer