HomeMy WebLinkAboutMiscellaneous - 1225 SALEM STREET 6/15/1999 TOWN OF NORTH ANDOVER
BOARD OF HEALTH
CERTIFICATE OF COMPLIANCE
DATE OF COMPLIANCE:
06/15/99
This is to certify that
the individual subsurface disposal system
constructed ( ) or repaired (X)
by
Mike Reilly
at
1225 Salem Street
has been installed in accordance with the provisions of Title V of the State Sanitary Code
and with the North Andover Board of Health regulations as described in the Design
Approval Site System Permit# 1101 dated 06/10/99 for D-Box only and Tee.
The Issuance of this certificate shall not be construed as a guarantee that the system will
'unction satisfactorily.
Board of Health Inspector
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APPLICATION FOR DISPOSAL WORKS CONSTRUCTION PERMIT
DATE: 67 ZI 029 CU ,NT INSTALLER'S LICENSE#
LOCATION:
LICENSED INSTALLER: 1,14 , , ✓� �'
SIGNATURE: TELEPHONE# 7f- 2,3 ;7
CHECK ONE: X
REPAIR: NEW CONSTRUCTION:
NS UCTION;
IF NEW CONSTUCTION, PLEASE ATTACH FOUNDATION AS-BUILT.
Administrative Use Only
$75.00 Fee Attached? Yeses No
Foundation As-Built? Yes No
Floor Plans? Yes No
,.. Date:
Approval •�
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