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ELECTRICAL PERMIT '' ,,r 1
Job Address: 327 WHITES PATH Unit:
Owner Name: FANARA BETH ADAIR TRS FANARA REV TRUST
Owner's Address: P 0 BOX 775 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19466
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Trenching and piping new 200 Amp line from existing meter location to new
PPC electrical panel
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: ln-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: $ 6,000 Work to Start: September 12, 2023
FIRM NAME: FB ALARMS INC A-1 License Number:
Master/System and/or Journeyman Licensee: Gene Sokolovskiy License Number: 8286
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WATERTOWN, MA, 024724344 WATERTOWN MA 024724344 Fee Paid: $100.00
Email: permits@fbis360.com Business Telephone: 6175007060
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: EVANSTON INSURANCE COMPANY
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