HomeMy WebLinkAboutBLDE-24-960 6/20/24,5:43 AM about:blank
Commonwealth of Massachusetts roe' Yeti
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ELECTRICAL PERMIT ` �Cq�RAEp, /'!
Job Address: 66 CAPT NOYES RD Unit: 1c? Y4 7- 7o e
Owner Name: SERIJAN HELEN ANN TRS
Owner's Address: 5 JOHN JOSEPH RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-960
Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: Replace specified outlets and switches. Provide arc fault protection.
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 0 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 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $800 Work to Start: June 14, 2024
FIRM NAME: A-1 License Number: 4171 Al
Master/System and/or Journeyman Licensee: SCOTT D MORRIS License Number: 18338
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: HARWICH, MA, 026456264 HARWICH MA 026456264 Fee Paid: $50.00
Email: emilybaldwin@sdmelectric.com Business Telephone: 5084304014
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: SDM ELECTRIC, INC.
( 2,51
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