HomeMy WebLinkAboutBLDE-23-19877 11/21/23,6:26AM about:blank
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ELECTRICAL PERMIT
Job Address: 68 CLEAR BROOK RD Unit:
Owner Name: SUMAN DIEYSON
Owner's Address: 15 SYDNEY DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.: 0
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19877
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: FURNACE REPLACEMENT . (FURNACE ONLY)
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW:
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 ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 500 Work to Start: November 21, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: FILIPE COSTA License Number: 58899
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: EAST DENNIS, MA, 02641 EAST DENNIS MA 02641 Fee Paid: $50.00
Email: filipemcostaelectrician@gmail.com Business Telephone: 774 521 8885
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work 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: hartford insurance
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