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HomeMy WebLinkAboutMiscellaneous - Avery Park WayN° 3 3 '/"5 Date.. aX zW TOWN OF NORTH ANDOVER PERMIT FOR WIRING This certifies that ......t.! M.z- wic)� C!, (,f, r U c .............. has permission to perform .....Ave 1 U wiring in the building of ......! ..�...s.(J.......................................... iiw/J�) w U .� .......% North Andover, Masi Fee................. Lic. No. r. 6 .\: ��! ./.fir... '.` �.... /7 ELECTRICAL INSPECTOR Check # to % ' `J WHITE: Applicant CANARY: Building Dept. PINK: Treasurer nwcowoNwE4LTHOFII�ASSAaiaE IS of: Use only DEPARTAIEVTOFPUBLICSAFM Permit No. BOARDOFFIREPREVE W0NRWa4TI0AS527CMR12:00 Occupancy & Fees Checked APPLICATION FOR PERMIT TO PERFORM ELECT TZICAL WORK ALL WORK TO BE PERFORMED IN ACCORDANCE WITH THE MASSACHUSSTS ELECMCAL CODE, 527 CMR 12:00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Dat O 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) PA (2-k W)N V II PA Owner or Tenant Mp< I i Owner's Address Is this permit in conjunction with a Purpose of Building � permit: Yes 10 No M (Check Appropriate Box) Utility Authorization No. Existing Service Amps / Volts Overhead Underground No. of Meters New Service()-_ Amps volts Overhead Underground ® No. of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total KVA No. of Lighting Fixtures Swimming Pool Above El Below 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 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 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 Connections No. of Water Heaters KW No. of No. of Signs Bailasis No. Hydro Massage Tubs No. of Motors Total HP i OTHER IrmranoeCo�aage R�tlatblheragtmal��GataalLaws Iha%eaa otLiabtiityhtc==Pobcymdu&tgComplebe CoAmaWorAsaksttttiatequyala# YES ® NO lha%estJ"AbdmWptocfofsaneiotheOffne YES M No If}puha%edxclwyEr,,plemitYlial6etttetAxofwmaEpbydicdmtgthe ® BOND 01I-1FR {Plea9eSpedfy) Kruk=,41,.& bpirAm D& Estat"ed VahtedUedtital Wcik $ WotkloStat InsspadwD*Rapesled Ralg►I 1 �\ C !-1�.�.�.� Final I FItada�ieFalaltiesof y RM e- �� C LiMWNa �J (0�1 1 FIRM NAME 1 Lioa�sae `W�Jt1 �� �rvv�nnA Sigr�Iue _ ..w_ lioalseNo alsmss TeL Na C;1 AiTeLNa $(o UL OWN,WSPgRJRANC'EWANFR,IamawateihattheLi wdo etheittstratneoo�aa�orosst>j�sla tecglivalartastegtmedbyM dxs t talaaliaws andthatmysiwernthspem*appkEdi v4ei% tdism**mletrt. (Please check one) Owner Q Agent a � Telephone No. PERMIT FEE J L ,