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HomeMy WebLinkAboutMiscellaneous - 10 Beaver Brook Roada ___ 1 N,2 I J�,9 Date ....... V/� �-' �7 - - TOWN OF NORTH ANDOVER PERMIT FOR WIRING % C- k F:� � -f - This certifies that ........... ............................ has permission to perform .... .................................... 9z wiring in the building of ..... V-P'.a.rj'f..C? ................................................ M at ... 1.6 ...... &4 0 r, et.. lie e. /. North Andover, Mas ' S Fee. Lic. No. /E .............. �CTRi L /ELECTRICA NSPECMR C- ff �' K 1-7_� WHITE: Applicant CANARY: Building Dept. PINK: Treasurer �.\ TBEMWONWE4UHQp.`Office Use {only q DEPARTAJ9DNTOFPUBLIC&9FM Permit No. BOARD OFFD?EPREVEM70NREGMT10AS 02120 Occupancy & Fees Checked APPLICATION FOR PERAff TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. Location (Street & Number) Owner or Tenant 10ir-L Ike ra ., de s ss�ri r�rr Owner's Address Is this permit in conjunction with a building permit: Yes M No M (Check Appropriate Box) C{0�_, 86 / Purpose of Building / r /y ! r—q-t Utility Authorization No. Existing Service Amps / Volts Overhead a Underground �"� No. of Meters / New Service Amps/aD / rya Volts Overhead Underground No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work f/Jt're tt/� N-3. of Lighting Outlets No. of Hot Tubs No. of Transformers Total I KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA ground 171 ground No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting Battery Units No. of Switch Outlets No. of Gas Burners FIRE ALARMS No. of Zones No. of Ranges No. of Air Cond. Total Tons No. of Detection and No. of Disposals No. of Heat Total Total Pumps Tons KW Initiating Devices No. of Sounding Devices No. of Dishwashers Space Area Heating KW No. of Self Contained Detection/Sounding Devices Local Municipal Other No. of Dryers Heating Devices KW 0 Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER. lnst=xeCmaage. I ioihem*manatsck> lzmdxBezGata'alLaws IhmeawauitLia)khura=Pobyu&drgCarlpk4 Cowrdgecrtsskgarteleq valet YES NO M I ha%eabnkedvaMptoofofsatnel+ntheOffim YES r7rNO Fyuha%edvd ed YES, pimerdc&thetype0fWW dWbyc =4igthe qpqziasebox INSURANCE © BOND MER M (�Sp�) S -a1W1 c L G,/u� G0 . Z�/ `/� WakmStart Estirn*dValuedE echid Wait $ /0), oe-o, h,spe=D*Regtl sWd Ro# Fxlal , - -a ti FIRM NAME awn OWNER'SPNSURANCEWAIVER;I.amawatetha *clj=wdoatdi vgtheiluuaneo ywVaitsq al ealrRktasmgLmWbyMawduMC {Iemllaws andittmysigi�cn4tpmni WpkBfimwai,mftreglmarait. (Please check one) Owner a Agent ED Telephone No. PERMIT FEE $����