HomeMy WebLinkAboutBLDE-23-20015 12/13/23,6:33 AM ,lO about:blank
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ELECTRICAL PERMIT
Job Address: 43 CARRIE LN Unit:
Owner Name: CHURCHILL FREDERIC E CHURCHILL VIRGINIA B
Owner's Address: 8 SHAW RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-20015
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Bond and wire pool
INo.of Receptacle Outlets: 1 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: 2 Total HP: 2 Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.12 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 CI 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 Cl Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 5,500 Work to Start: December 15, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: LAWRENCE R BROWN License Number: 30708
Security System Business requires a Division of Occupational Licensure �
"S" LIC. Licens mber:
Address: CENTERVILLE, MA, 026322713 CENTERVILLE MA 026322713 Fee id: $85.00
Email: Brownelectric@comcast.net Busi Tele : 5082217763
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: Simply Business
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