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DIG SAFE NUMBER
Date: 6/26/12 APPLICATION IT
START DATE:
C.82 S.40 M.G.L.
To: Head of]Fire Department: north Andover
City/Town
In accordance with the provisions of Chapter 148,M.G.L. as provided in Section 1 OA application is hereby made by:
Name: Crowe & Sons Electrical Corp.
(Full name ofperson,firm or corporation)
Address: 576 Middlesex Street, Lowell, MA 01851
(Street or P.O.Box) (City/Town) (State) (7.ip Code)
For Permission to: Add (1) horn/strobe to existing fire_alarm system
State clearly the purpose for which the permit is requested: —
Location: 565 Turnpike Street Unit 63A Back Dr: Coppola
Name of competent operator if applicable: Certificate of Competency#:
Date Issued OQ Date Re ected { }: 9� - _O� By:
Date of Expiration: A _Fee Paid {x} Fee Due { } .Amount: $50.00
Applicant Signature: i Ts Fire Department Number:
(If App icable)
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Date: 6/26/12 PERMIT DIG SAFE NUMBER
C.82 S.40 M.G.L. START DATE:
In accordance with the provisions of Chapter 148,M.G.L. as provided in Section A this permit is granted to:
Name: Crowe & Sons Electrical Corp.
(Full name of person,from or corporation)
For Permission to: _ Add (1) horn/strobe to existing fire alarm system
State clearly the purpose for which the permit is granted: Y
Restrictions:
Location: 565 Turnpike Street Unit P3A Back D Coppola ®.
Fee Paid: 50.00
Signature and Title of Official Granting Permit:
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