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HomeMy WebLinkAboutMiscellaneous - 134 Beverly Street w C� c rn IL r s --N2 2329 Date.... ... ....... - MORTM °! �``°:•1"° TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that .... ......... ?Q.l............................. has permission to perform ... :6: 1 WJ /Z. `....Q..". C '�f7,y� wiring in the building of....... ( .�.....}../,/. '1.. U......................................... at........ )..Lf...... S 1 f ........ North Andover M�..• a..s..s.. Lic.No-e . ....... ........... . ` ELECTRICAL INSPECTOR Check # � I WHITE: Applicant CANARY: Building Dept. PINK:Treasurer TBECOAMOAWE4L77101'A1ASS4aiu LTiS Office Use only q 1a&1�9RTMF1VlOFPIIBlICS9FElY Permit No. �_ BOARD OFFMPREYF MONREGUTA HORS 527 C M 12.00 Occupancy&Fees Checked M � APPLICATTONFORPE MT TOPERFORIVIELECT Q4L 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 t�' G�� Q t2 Town of North Andover To the Inspector of Wires: The undersigned applies for a permit to perform the electrical work described below. IMAP PARCEL Location(Street&Number) 3 t' P�g_yer4e, S Owner or Tenant Al Q e- Owner's Address JJ q Is this permit in conjunction with a building permit: Yes ED No (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service ��� Amps ZLP/ oVolts Overhead ©Underground No.of Meters New Service Amps / Volts Overhead r-1 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No.of Lighting Outlets No.of Hot Tubs No.of Transformers Total KVA No.of Lighting Fixtures Swimming Pool Above Below Generators KVA ground and No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gaa Burners No.of Ranges No.of Air Cond. Total FIRE ALARMS No.of Zones Tons No.of Disposals No.of Heat Total Total No.of Detection and Tons KW Initiating Devices No.of Dishwashers Space Area Heating KW No.of Sounding Devices No.of Self Contained Detection/Sounding Devices No.of Dryers Heating Devices KW Local Municipal Other Connections No.of Water Heaters KW No.of No.of r Signs Bailasis No.Hydro Massage Tubs No.of Motors Total HP r � OTHER' IA/i'Yt� t rotrprl poo j eb�,aeel ao g6g4 rouge F,7i4e. lrWrdnceCocaage Plastmttodlaiecl la4sofMassadiBdtGmaWI_aws I1awaamtdLmbhyh='=Fbbcy mduc) ECmTieb Coti r,wcrAsstksurtwegimAd YES NO a Iha%e&b,admihdp ocfofsametotbeOffim YES M NO fyiuba,.edrdazdYESpimemdcatdrpcfwmFbydvimgtlr qTraalebox INSURANCE 0 BOND 0II-M (Fuge Spa*) E�iratialD� EslirnatddVa1wdEbobml Wait$ WodcmSlatt hnpeclimDekRe pnWd Ratgkl Final SigoadurxiarTrPalalties ofpajtuy: F04NAN E p ! LiomseNo Lam�ae 7t�e�aVr�" ,���u 8c?1 e,N Srgt�e_ ,�•'��� ,.��+�'� Lna>seNo � �s� BusixssTel Na Aam�2 JI-fa" L-0 ur e / �ti Alt Tdl b 478" l rfr ll o it OWNERSINSUZANCEWAMa2 amaw&ethatdrLiarmdmnothawtheitnlmIoewvmWaitss alegxwlacitasregxodbyMamadas&CvnmdLaws anddiatmysoiAmcnihispamitapplir_V.M%CSthisrequirarlart (Please check one) Owner � Agent Telephone No. PERMIT FE $�0' �) Signature ot Owner or Agent