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HomeMy WebLinkAboutMiscellaneous - 80 Matthews LaneO T Z This certifies that . Ute; has permission to Date .®-9 :. TOWN OF NORTH ANDOVER PERMIT FOR WIRING G1 Q O 93 wiring in the building................. Pat...P...........:.............::...................... ................. , North Andover, Mass. Fee ..�. .... Lic. No. �...L .G... o it ELECTRICAL INSPECTOR J CU O WHITE: Applicant, CANARY: Building Dept. PINK: Treasurer - �= The Commonwealth of Massachusetts Ofncs Use Only Department of Pub/rc Safety F�— ermit No. Z/ C.� 80ARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 P anclr S Fee Checked 3)90 Peeve blank) APPLICATION FOR PERMIT 1-0 PERFORM E All work W a p4Aomed in aee MRF4* with ftMassacnums Elfty" coda. S27,L E CT R I CAL W ® RK (PLEASE PRINT IN INK OR TYPE ALL INFORMATION City or Town of _ -«iA y- -I-V1 ;l od c7ye (— The undersigned applies for a permit to perform the electrical work described below. Date 1 �,a ,To the Inspector of Wires: Location (Street & Number)_ ? C7 � 1I� (Owmer)r Tenant I" 1"(1C (©O� ()QVQ o MenCOC Owner's Address� ©(� Q- , -,z 5� i S� r 'k.{, � Is this permit in conjunction with a building permit es ❑ no (Ch�%k App priate Box) I7'!rpose of Buildin Utility Authorization No. E,dsting Service --Amps-----J---Volts Overhead ClUndgrd ❑ No. of Meters New Service Amps �_ Volts Overhead ❑ Undgrd ❑ No. of Meters Number of Feeders and Ampacity_ (� Location and Nat a of Proposed Electrical Work— ��/.�i�/%�l� (t V, P C' No. of lighting Cutlets No. of Chong Fixtures No. of Recautacle Outlets No. of Switi:h Outlets No. of Ranges No. of Disposals No. of Dishwashers No. of Dryers L No. of Water Heaters KW No. of Hydro Massage Tubs OTHER: No, of Hot Tubs Above Swtmmin Pool grnd. In ❑ grn, No. of Oil Burners No. of Gas Burners e No. of Air Conditioners TOTALTONS HEAT TOTAL TOT, No. of Pumps TONS KW Soace/Area Heating KW NI No. of of FIRE ALARMS No. of Zones No. of Oetectio:t and Initiating Devices No. of Sounding Devices No. of Self Contained Detectlon/Sounding Devices ting Devices KW Local ❑ Municipal of No, of Connectic is Barllasts Low Voltage __ Wiring of Motors Total HP I- flfA/i v , ,i FOTAL KV-- A KVA INSURANCE COVERAGE: Pursuant to the requirements of Mas rachusetts Genera! Laws ! have �a current Liability Insurance Policy including Completed Operations Coverage or its substantial equivalent. YES O NO ❑ 1 haave submitted valid proof of same to.this office. YES ❑ NO O It you have checked YES, please indicate the type of ,coverage by checking the appropriate box. INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify (Expiration Date) Estimated Value of Electrical Work S Work to Starr Inspection Date Requested: —FIRM under the penalties df.perjury: FIRM NAME 11 L11 Licensee Signatur Address d . � Rough Final LIC. NO. - e UC. NO. Bus. tet. No.�t '• 3�.Z' 7 Y�J OWNER'S INSURANCE WAIVER: 1 am aware that the Licensee does not have the insuranAlt tce coverage or its substantial equivalent as required by Massachusetts General Laws, and that my signature on this application waives this requirement. Owner Agent(Please check one) _Telephone No. PERMIT FEE S (Signature of Owner or Agent) Date 3444 TOWN OF NORTH ANDOVER PERMIT FOR PLUMBING This certifies that . ,r+f. �!r J�'f�'...�.d� . ................. has permission to perform ............. plumbing in the buildings of ..�/ 1j!�.�.�'r.p.4.................. at . '�-p . A. '. I-l*.� r* * ' * * * * * ' * ....... North Andover, Mass. d Fee./4..... Lic. No./ P . .............................. PLUMBING INSPECTOR 03/17/98 A. -E WHITE: Applicant a 180.00 PAID CANARY: Building Dept. PINK: Treasurer PiASSACHUSETTS UNIFORM APPLICATION FOR PERMIT TO DO PLUMBING (Print or Type) ,Y hnlw Mass. Date T- I y 195 _7_ Permit # Building Location <Z� Newt/ Renovation D Replacement ❑ Owner's Namerie Type of Occupancy FIXTURES Plans Submitted: Yes ❑ No O om an Name a ''�` Check. one: Certificate Inst.; I tng C p Q�'Corporation - Add.Nss a ' D Partnership Bij�, s.i Telephone Nat I c a Licensed Plumber iN u ;:E COVERAGE: 1 hjw i -:,trent try insurance policy or its substantial equivalent wheth nr.h the ►equtrements of MGL Ch. 142. No 0 _.:. eecked yes, pl:;�� icate the type coverage by checking ftw aWnprlale 110%. A liability insurance policy Other type of indemnity 0 llklind t 01yNER'S INSURANCE WAIVER: I am aware that the licensee does not hae* ltw m,wance coverage required by Chapter tat of rtr --P% Gcneral Laws, and that my signature on this permit application waives this r,lqurrrone, Check one- Owner xerOwner ij Agri 5i r *cure of Owner or Owner's Agent .... . n.nn aid at ale eo du be+l d my Yno..kdr and a� aM t~�^ —4 I N, •.nv cemly shat all nl M deeMh and , itio Mwn I have wtirmm-d im rnrfr t In ahmm w MJe a SUI! Rumbm� Cade 4M(haar" ! a 1 ti and -0stlanom pednwwd undre die PNmn issued tar Ihn appltulwn .ill be m c lance m ali slonMuR 19i Ltc a,d umtw 81. 16! ._.. t. 'own -;"OVID !OlrlC( USE ONLY) tyce ol Liceme' MoUrnF�lj / bnt w Number t L,�e:�.r6 SQL.¢ — ■■■■■■■■■■■■■■■■■■■■■■■■■ FLOOR om an Name a ''�` Check. one: Certificate Inst.; I tng C p Q�'Corporation - Add.Nss a ' D Partnership Bij�, s.i Telephone Nat I c a Licensed Plumber iN u ;:E COVERAGE: 1 hjw i -:,trent try insurance policy or its substantial equivalent wheth nr.h the ►equtrements of MGL Ch. 142. No 0 _.:. eecked yes, pl:;�� icate the type coverage by checking ftw aWnprlale 110%. A liability insurance policy Other type of indemnity 0 llklind t 01yNER'S INSURANCE WAIVER: I am aware that the licensee does not hae* ltw m,wance coverage required by Chapter tat of rtr --P% Gcneral Laws, and that my signature on this permit application waives this r,lqurrrone, Check one- Owner xerOwner ij Agri 5i r *cure of Owner or Owner's Agent .... . n.nn aid at ale eo du be+l d my Yno..kdr and a� aM t~�^ —4 I N, •.nv cemly shat all nl M deeMh and , itio Mwn I have wtirmm-d im rnrfr t In ahmm w MJe a SUI! Rumbm� Cade 4M(haar" ! a 1 ti and -0stlanom pednwwd undre die PNmn issued tar Ihn appltulwn .ill be m c lance m ali slonMuR 19i Ltc a,d umtw 81. 16! ._.. t. 'own -;"OVID !OlrlC( USE ONLY) tyce ol Liceme' MoUrnF�lj / bnt w Number t L,�e:�.r6 SQL.¢ —