HomeMy WebLinkAboutRadio Box installation permit - Permits - 8/19/2015 �J 1
Application for Standard Permit
FP-006 .► Return completed application to: N. ANDOVER
(Rev. 1.1.2015)
Permit Number: DIG SAFE NUMBER
City or Town: N. ANDOVER
Start Date:
Date: AUGUST 19, 2015
In accordance with the provisions of M.G.L. Chapter 148, as provided in Section application is hereby made
by CROWE & SONS ELECTRICAL CORP. (978) 453-6696
(Full Name of Person,Firm or Corporation) (Phone Number)
of 590 MIDDLESEX STREET, LOWELL, MA 01851
(Address:Street or P.O.Box,City or Town,Zip Code)
for permission to(state clearly purpose for which permit is requested) INSTALLATION OF RADIO BOX AT
180 CHICKERING ROAD KITTREDGE CROSSING
Name of Competent Operator(if applicable) Cert. No.
Date Issued-rejected By
(Signature of Applicant)
Date of expiration Fee Amount Paid$ 5 0 . 0 0
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N. ANDOVER �' r
FP-006
(Rev. 1.1.2015) PERMIT
City or Town: N. ANDOVER DIG SAFE NUMBER
Date: AUGUST 19, 2015
Start Date:
Permit Number(if applicable):
In accordance with the provisions of M.G.L. Chapter 148,as provided in this permit is granted
to CROWE & SONS ELECTRICAL CORP.
(Full Name of Person,Firm or Corporation)
for INSTALLATION OF RADIO BOX
Restrictions:
at 180 CHICKERING ROAD KITTREDGE CROSSING
(Street and#or Describe Location for Adequate Identification)
Fee Paid$ 50 . 00 This permit will expire on
Signature of Official Granting Permit: Title
100 This permit must be conspicuously posted upon the premises *01