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HomeMy WebLinkAboutMiscellaneous - 5 Clark Street -1 � �. � .. THECOWONWE4LTHOFA: MCHUS 77:S office Use only DEPARTMFNT0FPUBLICS4FM Permit No. f �O B0ARD0FFIREPREVEM0NREGMTI0/11S527CW 12* 7. Occupancy&Fees Checked VAPPLICATIONFOR PERMIT TO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTs ELECTRICAL CODE,527 CMR 12:00 Alhl'!?— (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat 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) j Cos-7�- 0 3J ( C-0 W►.VVI Owner or Tenant -t'v L 6, \D'--, Owner's Address G f In �dh J�riv-Q- Ha)1.\5 N,4, Is this permit in conjunction with a building permit: Yes[D No (Check Appropriate Box) Purpose of Building �`ev�-� p� � �`e �Ya���,�r Utility Authorizatioo / 1 Existing Service Amps / Volts Overhead M Underground No.of Meters New Service /06 AmpsJav�_Volts Overhead r771 Underground No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work -'��n, el�c• cy+�- Som -�-ra� �� No.of Lighting Outlets No.of Hot Tubs No.ofTransfonners Total X KVA No.of Lighting Fixtures Swimming Pool Above Below r7 Generators KVA ground ground No.of Receptacle Outlets No.of Oil Burners No.of Emergency Lighting Battery Units No.of Switch Outlets No.of Gas 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 Pumps 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 Municipala Other Connections No.of Water Heaters KW No.of No.of Signs Bailasis No,Hydro Massage Tubs No.of Motors Total HP r OTHER h>strmwCotieaga Rost>artt�theragtmaretisofMa�d>isr GenaalLaws Iha%eaaxra>iLiabt7rt'yhss&=PbbcytrtchdmgCar>pkv CDVWWorgsstkswrttiale4rrdkrt YES © NO r Iha`e%bTi mdvandprodofsa<rtekttheOffx YES r7 NO r7 If}ouhawdvJwdYES,pleasemdc*#rt peofoo&aWbyc=1nthe apptprbCX INSURANCEa BOND a olHm a ftme > E:VittfiartD& Eavan �E WakiDSW 5= /y-99 I, cnD*Rqxsted Re* Final Signedurtd -&P vhiesofpa* FIRMNAME J ,4,el 10 S �5 le CAY s G LloaseNa A�,�llo�o J� C��sr A foals L: 'eary-Y-1 �. Sigr&MLioa>SeNo ��= Add= 1,;2, .N /v�• Alas 6 va , ✓V Bus¢tessTelNa�0 3- 882 31 AltTel% & 3 - ,?81-933J 3� OWNMSINSURANCEWANER;lamm m dattheLimwdk" tWi�gtheirtsuatoe oriLssi>r aleg ltascagt�ec}by se�GeoaalLaws aod�atrrysigrz�lueatQtispturtd..appfictdonwaitesd�taltmgrrr>< (Please check one) Owner Q Agent M Telephone No. PERMIT FEE C/ • i r N° Date...S..� � ...f.. NORTI�1 TOWN OF NORTH ANDOVER p PERMIT FOR WIRING ACMUS� r t /v This certifies that ......... �.... ......5........................................................ has permission to performI 'c�t ... 6 r ��e . .................. ........................... ............................ wiringin the building of.......r-x.! ...... a� !.�t'.................................... 8 C� k p ..... orth Andover, a at......... ....�... ..... ......... !....................... Fee . Lic.No.. ld' ............... ,... ... LECTRICALINSPECTOR 05/17/94 13:54 75.40 PRID WHITE: Applicant CANARY: Building Dept. PINK:Treasurer