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Home My WebLink AboutWire Permit - Permits #11618 - 64 EAST WATER STREET 5/28/2013 BONN NO 011 \Ell \\ \ u �` win gin A Rs#, AIM TOWN OF NORTH AN -Bill �� ®�E{ice• ,'' wl WIRINGDOVER A— PERMIT FOR \� � n a gr Ell IBM.. 1101-1 \ll K _ \ �'�lIS certifies a ................................................... v ..._.. ._.. . -- W\\ M Mul IMM haS scion c crc .,. .. \\ �. .,�. n.�.�. �� l It awsrin n c off, . .. ..... ... .. ..._............t...._.. ._.. ...._N.N .. \\ INS All Andover, [guppy Mass. \ ...... .:... ..s Ql l til7 Y Li CtD]. AM at .................. ELECTRICAL INSPECTOR. am \ IN, all\ Check# (fommonwea&a/W46,6ac"M Offlicial tJse Onl5 Permit No. Occupancy and Fee Checked BOARD OF FIRE PREVENTION REGULATIONS [Rev, 1/071 (leave blank APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPEALL INFORMATION) Date: I . .. . .. ....... City or J'own of. 'r%A Vq To the—J�nspect�or'of Wires: -- By this application the undersigned gives notice of his or her intention to perform the electrical work described below, Location(Street& Number) Owner or Tenant fzL" ' V Telephone Owner's Address ........... -s rq,� Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box) Purpose of Building -.— r "'i Utility Authorization No. Existing Service Amps Volts Overhead ❑ Undgrd No. of Meters New Service Amps I Volts Overhead ❑ Undgrd 0 No.of Meters t Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: k ,........o Completion ofthe Z21lowing table-mav be waived b the Ira n ctor o Wr""Y ctor o Wires. NO.o otal a rans No. of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans 'form Transformers KVA e No. of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above Ei In 0.0 mergency ig ing grnd. er-nd. Baste Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No. ofZones No.of Switches No.of Gas Burners 0. 0 tection an Initiati a Devices No.of Ranges No.of Air Cond, Tons No.of Alerting Devices No. of Waste Disposers Heat u p umber Rs---,J.RW— No.OVSell-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local[] Mun'cipal—r Connection El--Other No.of Dryers Heating Appliances KW Se c u r ty S s te mi s:--*,v— No.of W a—te r No.of Levices otiqRiy� Heaters KW IVO.—OT Data Wiring- Signs Ballasts No.of Devices or Equivalent Tel ir No. Hydromassage Bathtubs No.of Motors Total HP iiv u �n OTHER: NcEoo.:mo::fm�;:vic�cae's'oonrsE� aTent ,4ttach additional detail if desired, or as required by the lnsl ector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. INSURANCE COVERAGE: Unless waived by the Owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability insurance including"completed operation"coverage or its substantial equivalent. The undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office, K) CHECK ONE: INSURANCE FR BOND 7 OTHER E (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: \ t %,Z�L-s LIC� NO.: .0 -- Licensee %y,4,1 Signature (If'applicable, ente "exempt ll in the license number line.) Address: \ '4� d t4'ec Bus.Tel.No.. Alt. Tel.No.:-4�� *Per M.G.L. c. 147, s. 57-611,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below, I hereby waive this requirement. I am the(check one�E] owner El owner's a .m, Owner/Agent Telephone --2: �Lo Signature _ No. LPERMI T FEZ S &-7 Then COMMONWEALTH OF MASSAG WSET 5 BOARD ELECTRICIANS REGISTERED MASTER ELECTRICIAN E L ISSIJES THE ABOVE LICENSE TO: TYPE GEM PLUMBING & HEATING CO INC THOMAS R LAMOUREUX -A 452 TAUNTON AVE SEEKONK MA 02771-3126,,JJ 3 826060 826060 D(-t�ach Along All Pednrraiccrs COMMONWEALTH OF'MASSAC14USETTS COMMONWEALTH OF MASSACHUSETTS a PLUMBERS AND GASFITTERS �tN,� LICEN� ED AS A:.MASTER PLUMBER AS A NlA5TE•R-UNRESTRICTED 6SSUES,THEA$4'JSLICEINsETo; 1 ISSUES THE ABOVE LICENSE TO FREDENICK J MOXHAM FREDERIC:" J MOXHAM 991 WEST ST GEM PLUNSING `;ERVICES ra I t4ELLINI;TON ED /! ATIEEgORO -MA 027b3—;s3S9 L_I NCO LN RI 0286S-4411 .9 ' .6Z8 05/01/14 158 :1 3$75 05/i6/14 162523 �S'R COMMONWEALTH OF MASSACHUSEtT'S COMMONWEALTH OF MASS;ACHUSETCTS a _ E'LUMBERS AND GASFITTERS LICE EtEG[STERi=Ct AS A .PLUMBING,GORP IrSEQ A5 AJOURNEYMAN_PI; INiBR; 1SsUFS THE ABOVE LICENSE Ta 4 (SSUES THIS ABOVE LICENSE TO - FREL7EI21CK J MOXHAM t RE.UjQ'K J MOXNAM s }y, C GEM PLUMEpIG & k{EATING. ,SERV- r_ ;a. k•T ST 9.91 WEST ST 3 wtE_ art. ,TTLESORO MA 0270-3.-3339 ATTLE.�QPO MA 0270 -3339 :2$99 05/01/14 14474,2` r 16.7-_f&_ 05./01/14 1583.14 t Zoan of 1.,eg15tratlon of�fbuz fERto(-oarkeC5 �7auuit�sanSG,r nc�req+urem�a,ts n(,gs1,75snct�u3etts a_'szI[ernl�.,va cll�i�tec 112,i-5WIGlf 23,tbM191)25t Q e� � Xumbin S: i eatinrg 0 Inc cs Ueretto g;au[s1 tgt5 t,cti2tcair�n.a4u n,e�Iacitcr•to prxcare a;a ��.icel� ec� eet IetaI u ir1e5 Olt this el bap of:�YcLatarp 2012 ju�..e;E waru''Jlra r69(. 9➢rtrnniu acn>;rn rue on"of dre the G2,ca