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HomeMy WebLinkAboutMiscellaneous - 76 Harold Streetzx N° Lei Date .../..:..r C TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ........:.. �. C k , Ca i El u' ......................................................................... has permission to perform .... wiring in the building of ...... , 6 I at......................................... . t ................................ North And v �; VlasS. Fee..................... Lic. No.,:..:`... ..? .L......... ............ ......................... ELECTRICAL INSPECTOR WHITE: Applicant CANARY: Building Dept. PINK: Treasurer 7BECOA MOAWE4LTHOFM9SS4CHUSL77S Oonly DEPARMENTOFPUBLICS4FETY Permit No. M r BOARD OF FIRE PREVEM70N RW LT VIOLAS 5'27 CMR 12-00 Occupancy &Fees Checked U94PPLICATIONFOR PERMUTO PERFORM ELECTRICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECTRICAL CODE, 527 CMR 12:00 1— (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date ��- �JD Town of North Andover The undersisned applies for a permit to verform the electrical work described below. Location (Street S Owner or Tenant To the Inspector of Wires: Owner's Address Is this permit in conjunction with a building permit: Yes QNo (Check Appropriate Box) Purpose of Building ,Z<Tt et�� e� Utility Authorization No. Existing Service e?9 AmptL&./=Volts Overhead Pq-Undergrounda No. of Meters New Service Amps Volts Overhead M Underground [M No. of Meters Plumber of Feeders and Ampacity Location and Nature of Proposed Ele No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above Below Generators KVA groundg1:1round 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 y 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 a Connections No of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP OTHER• InsmixeCmar- Laws Iimeaama>tLmbldyhmtm=Pd ymdd&gCmVie Caaageeritsmbsbriti a*ivalat YES NO Ilmesutxn2edvalidptoofofsam 1otheO>l=YES {n' NO r7 If}uuha%edaiWYES,pimemdc*thetWOf WdWbydakiCtgthe NSURANCE BOND OTHER, ftweSpecify)� EVitationl)* _ >> Est¢ttaedvahtecfl~7ectriralwotk $ WakbSlatt �5.,��. htspt va►DateRa*xoad Rougll ..�_�� Ftt>al Sig miunder-fi FIRMNAME14146 e Llo WNa Iioa�saei :�f.d /C) / 2J' C-2 -1 z d,, t, �r- �riue r Lioa>SeNo 6 J BusksTeLNa G /nJ /L%t°o1 � 4a1s1'� All. TdNTc.170i �J' 14,16 --2 a - OWNER'SINSURANCEWAIVER;Ialna%vm drtilrI apse a.thenEwdrwammglecritsstbutaiegtri dkdasm*mWby n dtsGerallzvs andditmysignkncnftpantapphabmwa*mthis Tat (Please check one) Owner Agent aof I!1/ 1 Telephone No. PERMIT FEE (/(/