HomeMy WebLinkAboutBLDE-23-19880 11/21/23,3:36 PM about:blank
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PERMIT w..y
Job Address: 368 FOREST RD Unit:
Owner Name: WRIGHT JEFFREY C
Owner's Address: 368 FOREST RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19880
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: generator installation w/15'trench
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: 18 Type: NG
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 Cl 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 El Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $4,000 Work to Start: December 1, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RANDALL C AGNEW License Number: 17492
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Mashpee, MA, 026496507 Mashpee MA 026496507 Fee Paid: $75.00
Email: ellen@rcaelectric.com Business Telephone: 508-428-0449
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: Main Street America Assurance
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