HomeMy WebLinkAboutBLDE-23-19832 11/14/23,6:39AM �. 1 about:blank
Commonwealth of Massachusetts o,, y-„
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ELECTRICAL PERMIT ,
Job Address: 72 CAPT CHASE RD Unit:
Owner Name: SALMON MARTHA E TRS SALMON CATHERINE M TRS
Owner's Address: 72 CAPT CHASE RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19832
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Addition and Bath Remodel
No.of Receptacle Outlets: 4 No.of Switches: 5 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: $ 1,200 Work to Start: November 14, 2023
FIRM NAME: A-1 License Number: 8383
Master/System and/or Journeyman Licensee: DAVID POISSANT License Number: 23099
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Plymouth, MA, 023607810 Plymouth MA 023607810 Fee Paid: $75.00
Email: poissantelectricalcorp2OUTLOOK.COM Business Telephone: 7746082887
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: Wesco Insurance Company
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