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HomeMy WebLinkAboutMiscellaneous - 0 Bonny Lane (3)Date .... � z —. TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ............ P ........... ...... ................................ has permission to perform .......... C4�96.-IVX-A.F ..... wiring in the building of ........... T7�*-w ..... A��7- at ............. i-0�W ........................ . North Andover, Mass. Fee ... fil.4� ........ Lic. No. Check # 7o'avlu 7080 11/30/2006 12:23 6034639323 EWING PAGE 02 COfffIl/011WMlrJt o/mmawiN/>!oft Depf/MMAt of Pft 9erYhw Pormie No. . WARD OF FIRE PRMNTION REGULATIONS Om m and Fee Cbethad flews blank APPI.ICATiON FOR PERMIT TO PERFORM ELECTRICAL, WORK AU wok p M lrrlerr! w!b ne Msrartlrpr a1damw Case fet8 , !U CMR 12.00 (PLUSE'PRWINAVX OR M .1 Z N FORUATJMV Date: rth, or Town nU f T„ ►b,. By this %VIlcadan tM Riva aotloe tot nese to NumDor) L•eatMtt mfmn apt ekdAW work doudbsd below. (BMIt ` •> ► ~� ! Owner or Tweet %l� _ In 1 l l Owner's Address TWIhose Na. In t If tbls panalt In eoe)uaethM W16 a held < `. rtitpote of !t<rlidt b8 Ya No ❑ (Cheek Appropriate foal) G ��., �'1 UtlMry Authorhadeo No. R"m Service AMM �Z 1" ^`�woiq ovlr6a10 Undgm D' No. of Maters ill i- Asp! 4?4. ' �Vob'► Overhead❑ UndSr Na of Mat/rt _ Number of Phaco tad Ampt* Leeatlba and Ivntur! of Pn*ond ttlapftcal Worfp DIan-t- m o. of!beeped M fors Na of LIothq Outleb Na. ff L PA" Platen• N•. of RocWtnt6! Outlets No, of Swleeb Ne. of Waps No. el Wast! Disposers No. of =*Mmbm No. of pryers KW DMbteba of CoLam p. (put!) pyp adios Tube tWj p �' efOh amen of Cn merger! of Air Coed. 0111 WWAM OWNS KW d1eRA/pdaelu KW a ,,, at sattatk of Moth 'total HP G!eer%Wn KVA dim m'h FtpS ALARMS Na. oTZoa!! G"Mn !p II�iDevieee No. of Almda8 Dwtae" 00.0 I Cl m� �.l.�i.i,.. ❑ Ostler INEURAW N COVZRAGir Unbae wdved by IM owner. no l ibr tlto as the U& Mee Provides ptraofaflbtbtlityhrw�rms tee[uataj �a>A?10mcoveno a it�llerfi0st worts may ieaue uNete mull" rtld txrttllaa that ouch b 4r brae, ted lltewmlNb� p oCraler a its wbukadai aquiv W. The CHECK OTB: ImatmANCE BOND ❑ OTiiWR ❑ Maj permrt ipuip j wfi t. 61fi tasted Value of 810e6`19e1 Werk: (When tegohtd by nluofdW per,) iFxfuc.nan 1!1 W ��� lspactjant b be ngrated in "ci dlaae vridr I►!SC Rai• to, end upon c ntpictiom FIRM N / � ej 61st de aelbe aq 614 VAkadmw k trove srd 4049" A L. LIC. NO.: Llummel iD� �buttunZ (VmgWad k mooter ~ n. aiv ltawrw Qs, V LIC NO X Addregt Bus. Tel Ne,. OWNRR W tam •wore ceott0 lief Aaore dra liM t1 �N6. O"m smo uimd by", ' By my dDdhae below. t hereby waive this ( ) ❑ vwntr ❑ owner Coverw y es9uitetnere. 1 tm the daoolt ane 3[jalepre Telephme Ne.BRAGT F,BBr S P 3 iv©tzT� 2b 0-3C937 � � /v b4 tv,°� �2 2-7,01k M