HomeMy WebLinkAboutBLDE-23-19768 11/1/23,2:19 PM t
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Commonwealth of Massachusetts F .yA
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ELECTRICAL PERMIT
Job Address: 12 MILL LN
Owner Name: LUCEY DAVID LUCEYALICE Unit:
Owner's Address: 32 BROOK ST
Purpose of Phone: Email:
Building Residential
Is this permit in conjunction with a buildin Utility Authorization No.:
Existing Service Amps/Volts g permit. No Permit Number: BLDE-23-19768
Overhead❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead Description of Proposed Electrical Installation: 200A PANEL R O REPLACEMENT
Underground El No. of Meters:
No.of Receptacle Outlets: No.of Switches:
Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires:
No.Appliances: KW: No.Wind Generators: Wind KW Rating:
No.Water Heaters: KW: No.Transformers:
Space Heating KW: Heating Equipment KW: Total KVA:
No. Motors: Total HP: Total KW:Total
No. Heat Pumps: Total KW: Total Tons:
Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑
No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners:
Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons:
Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Devices:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level Electric LevelV 2iCILevel Supply 0 Equipment:
1 ❑ ❑ 3❑ Rating:
Estimated Value of Electrical Work: $ 3,000
FIRM NAME: Work to Start: November 2, 2023
Master/System and/or Journeyman Licensee: ANDREW M LEVESQUE License Numbers 17318
Security System Business requires a Division of Occupational Licensure
"S" LIC.
Address: HARWICH PORT, MA, 026461831 HARWICH PORT MA License Number:
026461831
Email: permits@hphcllc.com Fee Paid: $50.00
Business Telep
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electtricoal ne:workk84323959 may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE: SELECTIVE INSURANCE
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