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HomeMy WebLinkAboutBLDE-23-19854 11/17/23,5:23AM
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ELECTRICAL PERMIT %Y
Job Address: 69 DEBS HILL RD UNIT 43A Unit:
Owner Name: LOTHROP KAREN M
Owner's Address: 69 DEBS HILL RD UNIT 43A Phone:
Purpose of Email:
Building Residential
Is this permit in conjunction with a building permit? No Utility Authorization No.:
Existing Service Amps/Volts OverheadPermit Number: BLDE-23-19854
❑ Underground❑ No. of Meters:
New Service Amps/Volts
Description of Proposed Electrical Installation: FURNACE REPLACE
verhead ❑ No. of Meters:
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. Heat Pumps: Total KW: Total Tons: No. Motors: Total HP: Total KW:
Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑
No.of Self-Contained Detection/Alerting Devices:
No. Oil Burners: No. Gas Burners: 1
Video System ❑ No. of Devices:
No.Air Conditioners: 1 Total Tons: 2
Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑
Solar PV KW DC Ratin No.of Devices:
9: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0
Level 1 El Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $2,000
FIRM NAME: Work to Start: November 20, 2023
Master/System and/or Journeyman Licensee: MATTHEW KANE License Number:
License Number: 55328
Security System Business requires a Division of Occupational Licensure"S" LIC.
Number:
Address: SOUTH YARMOUTH, MA, 02664 SOUTH YARMOUTH MA 02664 Feense Paid: $50.00
Email: mariah@seasidegasservice.com
Businessel1-276
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical workkphone: Bay 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:
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