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Date ....1.. Z ` S 0
TOWN
...L2-
TOWN OF NORTH ANDOVER
PERMIT FOR WIRING
This certifies that .......... ............................
P ... ....................................
has permission to perform ......... 19��
wiring in the building of .... ...... 7--
.................. I .........................
at .... .. . ..... /`P . ............................. North Andover, Mass.
Fee ...... Eic. No..2.5 NY ...................
.. ........................ .........
ELECTRICAL INSPECTdi
Check #
7084
UErAK1 i"TJV! .PeMut No.
BOARD OF FLREPREVFVIIONREGM770AS517CKR 11:00
Occupancy & Fees Checked
APPLICATION FOR PERMITTO PERFORM ELECTRICAL WORK
ALL WORK TO BE PERFORMID IN ACCORDANCE WITHTHE MASSACIiUSSTS ELECTRICAL CODE, 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date-'�
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)
Owner or Tenant
Owner's Address "(; qw 6-:
Is this permit in conjunction with a building permit: Yes F] No (Check Appropriate Box)
Purpose of Building _TCM SEz v'l0 t Utility Authorization No.
Existing Service Amps/ Volts Overhead Underground No. of Meters
New Service Amps/,;,;V1 ids d Volts Overhead Underground ®� No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work w IA? d/
No. of Lighting Outlets
No. of Hot Tubs
No. of Transformers
Taal
KVA
No. of Lighting Fixtures
Swimming Pool Above M
Below
Generators
KVA
and
round
No. of Receptacle Outlets
No. of Oil Burners
No. of Emergency Lighting Battery Units
No. of Switch Outlets
No. of Gas Banters
FIRE ALARMS
No. of Zones
No. of Ranges
No. of Air Cond. Taal
Tons
No. of Detection and
No. of Disposals
No. of Heat Total Taal
Pumps
Tons
KW
Wtiating Devices
No. of Sounding Devices
No. of Dishwashers
Space Area Heating KW
No. of Self Contained
Detection/Sounding Devices
Local a Municipal
a
Other
No. of Dryers
Heating Devices KW
Connections
No. of Water Heaters KW
No. of No. of
Signs
Bailasis
No. Hydro Massage Tubs
No. of Motors
Total HP
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N9JRANCEo BOND o 011fR o ftme
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Fatal
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Lioatsee ' �1 . �,a. �i i'';u,L,a I=wl o�-
BusinmTeJ.Na y7d' 1969-1
OWNER'S WSURA%iCEWA1VF�I.anawaethatlhel�oasedaesmtharetheitstratoet�asagearffis�#ialec�d�alatutagtmedbyMassa}t�lLsGenaalIata+s
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(Please check one) Ownera Agent a
Telephone No. PERMIT FEE $ V