HomeMy WebLinkAboutWiring permit - Permits #12140 - 84 JOHNSON STREET 2/3/2014 Date. .. �...........................
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PERMIT FOR IRI
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This certifies that ........
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BOARD OF FIRE PREVENTION REGULATIONS
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[Rev.1/071 qeavcb�bnlc)
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APAPOCAVON FOR PERMIT TO PERFORM ELECTRICAL WORK
M work tDbapeformedin aecDrdancpw,tA the MassathuseffsElEcMW Code(-kMQ,527 CMR 12.00
OR n?,9,MTflMBAMTZ0iV Data-
City or Toren of. kc"�L 4"k� -'ro t9e:1wectoy.of
By thi.-:,appRcatlort the wide HbDiW—g%veguofica of Jhs or her
JA"&" 'S+ '
OTMerorTaraAt JQA- pele c�- hon6 No.
n ffilg perraitia coqfundloR),elth a building permit? Yes ❑ -,\To
Paxpase ofB-aildiug Utility Auffiori ntlou No.
mj's-dng Sarp--ca Amps / Wolfs Overheat!r] -liudr-'I r] .No.DfM&fers
Ney�gffzyfca Amps, / volig Overhead Ej Uadgra El No.-of mterg
-Number oxrl ceders and Ampac�!, �
Locaffon.gad Nature bi'Fraposed Elethaczl Work:
f Fn
No of
No.of Luhlinalre 0-Rtleis No.of Hot Tabs Generators XVA
-No.0 IM16
of LVMI&aires Above E] )]a-
EIA 9M--(I. El l3atteryUjiftg
M of Switches ITIa No.ot DaenL on Aack
of Gas Rux-Tiag
Devices
No,of Ranges. ..Of Air ConcL Total Tons No.of Ak):HngDevices
111T9.of Wasto,Disposerd HeatPump Number Tons 1CW INo,0 Self-contained
'Totals;
No.of Dishwashers Space/Area Heating xW Lc'al Ef con-aacgon El offir
Security Systems:*
No.of DryersKW
-No.of Water c)
No.of I'To,of Data Whin
Heaters
Si Es Ballasts I No,ofDovices or-Equtvalent
Wo.RYCTro masgage RafhNbg No.of Motors TOW ET Telecommunications Wiring:
No.of Devices orBquivg:leai-
O=P,.-
dcfaflxydsirg or as reqvired by M-,-(Pspectcr o}`'Y7nes.
Estimated tl"2ltr�ozB1e�„-ral W'ark: d 3 G `� (green requ;redby municipal policy.}
'Work to Stalt Inspections to_bDxequas-kdfaaccordan-ca wiftMRC Rnlo 10,and upon completion,
tiom
INSURANCE CO Y.ERAGE: Unless waived by the owner,no permit for 110 p 6do i-j:ft ft ac,--of el c Gta cad v,o-Tk ring issue to,less
the Jicew m provides proof of Hability im maacD including'completed operation"GOVaagu Dritsubetz-atialrquwalen:L The
undersigned cures ffiA.such 0 0 wrzga is in force,and has bxlu bited pzo o f of spma to to 1)armit is sning of ff c c.
CHECK 0N1 WSTRAUNCE 0 BOND 0 OTMI X. (Specify:) Self Inmed
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RIM.'KAM.- ADTLLCDBAADTSwuriw Me.NO-- c-1721
Licensee:11hornas. J*.Leo (Ign t-ul C-172
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Address, xw/ //,/ � e) ,
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cpnudy Systora Conftactor Lic ous D xa quio d for this w ork;if appR rab if-,butax the ons a num b or hem 001779
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aware -fiRttfiaLimm.qG does not have to liability ins�aaca covarag
OWN31101's IM CE f y c
1eqRkimd by I y s ow,I hemby waivP tfih xe�amc�nt I am.fho(check one)El a ner 2,0'�Mer'3 agent
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AMdavgh BE u1i9ders/fOom,Iva
• Ap
a I ADT Securi$y_Sqrvices
IS Clinton Drive
603-59 -5
,``�ro YOU1,414 o Iry p
4r I avi Fgencm-TOwltm,driv and I
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I am a 110meown" doing 011 wo ,-ys ,'If K1,ght of Oxemption per AT r-3 L
m m [No wunkm cornv.�
#3.1152,§1f4),and Ave have no.
Low Voltage
emuranw requirad.1 SecuritV System
t-
ATLY qPN6-ftt ti-it Olgd Om$1 ffluat 41PA,fill 1 'R Am ECrLlimsoliva
=.dolulgalf wid,and thea WM- rmimubmfta ft,6-P iffridavff AWk-firing SWIL
ftovdig �mfv 170.1mW or not.1haso cr-JIOW Iwo
,GT Zurich American Insurance Co. `_ : �„�y__ _ . _ jWC509589701MC509589801 j3xi 10/01/2014
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fila-0 upto$1-D,500A anivorOAC4,ve-ar imprigontualt-vi'well OT, form u fa tLyro-P WOU OPDjj-R and a fte
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