HomeMy WebLinkAboutMiscellaneous - 585 Turnpike Street ..� pr �� j
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Tom-`of North Andover
Health Department Date:
Location:
(Indicate Address,if Residential,or Name V*usi�ness)
Check#:
. Tyre of Permit or License:(Circle)
➢ Animal $
v ;
➢ Dumpster $
➢ Food Service-Type: $
➢ Funeral Directors $
F ➢ Massage Establishment $
4: ➢ Massage Practice $
➢ Offal(Septic)Hauler $
➢ Recreational Camp $ q
➢ SEPTIC PERMITS:
❑ Septic-Soil Testing $
❑ Septic-Design Approval . $ a.
❑ Septic Disposal Works Construction(DWC)$
❑ Septic Disposal Works Installers(DWI) $ :y
k ➢ Sun tanning $
➢ Swimming Pool $
�r
➢ Tobacco $
➢ TrashlSolid Waste Hauler $ t
➢ Well Construction $
i' ➢ OTHER:(Indicate) _
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Health Agent Initials
1066
White-Applicant Yellow-Health Pink-Treasurer
r
Town of North Andover j
Health Department Date:
Location:
(Indicate Address, if Residential,or Name o usi ess)
Check#: 4,"ZO
Type of Permit or License:(Circle)
➢ Animal $
➢ Dumpster $
➢ Food Service-Type: $
➢ Funeral Directors $
➢ Massage Establishment $
➢ Massage Practice $
➢ Offal(Septic)Hauler $
➢ Recreational Camp $
➢ SEPTIC PERMITS:
❑ Septic-Soil Testing $
❑ Septic-Design Approval $
❑ Septic Disposal Works Construction(DWC)$
❑ Septic Disposal Works Installers(DWI) $
➢ Sun tanning $
➢ Swimming Pool $
➢ Tobacco $
➢ Trash/Solid Waste Hauler $
➢ Well Construction $
➢ OTHER:(Indicate) C �
J Y
1 066
LL Health Agent Initials
White-Applicant Yellow-Health Pink-Treasurer
tY
f Town Of North Andover INVOKE
Department of Weights and Measures
400 Osgood.St.
North Andover 01845 INVOICE
Phone (978)688-9540 DATE10/04/05
(Cell) (508)783-6403
TO: FOR:
North Andover Getty Testing and Sealing of Weights and Measures Devices
785 Turnpike St.
North Andover 01845
Fees and adjusting charges authorized by Section 56, M.G.L. Chapter 98 as amended.
Device Legal Sealing Fees Adjusted Sealed AMOUNT
Test And Seal Gas pumps $5.00 per meter 16 80.00
TOTAL $80.00
This is to certify that I have this day tested, adjusted, sealed or condemned the above escribed device in compliance with the
M.G.L., Chapter 98 as most recently amended.
Inspect — ealer of Weights and Measures
Date
1�1k-mak h
TOWN OFeNDOVER
SEPTIC SYSTEM SERVICING
REPORT
Date:_ Cc) --
Homeowner: -
° 1---t�2a��-re.r
Street _ Pumper
Phone Address: l�
Phone
Nature '(Df S Drvice: Routine
Emergency
Obser•vat..icns:
Good Condition
Full to Cover
Baffles in Place
Leachfield Runback
Excessive Solids
Heavy Grease
Roots
Other (Explain)
Description, of Work:
Comments: