HomeMy WebLinkAboutBLDE-23-19431 9/1/23, 12:50 PM ((? ) about:blank
Commonwealth of Massachusetts of Y.�4'
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ELECTRICAL PERMIT ,,t f,
Job Address: 17 LILY POND DR Unit:
Owner Name: GOMEZ CARLOS GOMEZ LINDA J
Owner's Address: 17 LILY POND DR Phone: 508-380-8981 Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19431
Existing Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Wire new basement laudry and sitting room
No.of Receptacle Outlets: 11 No.of Switches: 6 Generator KW Rating: Type:
No.Luminaires: 3 No.of Recessed Luminaires: 5 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: 1 Total HP: 1 Total KW: 1
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: $4,000 Work to Start: September 1, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: FRANK 0 KORPELA License Number: 34454
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MASHPEE, MA, 026492063 MASHPEE MA 026492063 Fee Paid: $75.00
Email: frankktam @hotmail.com Business Telephone: 508-221-5848
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: AIM MUTUAL
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