HomeMy WebLinkAboutBLDE-24-1005 7/1/24,6:19AM about:blank
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ELECTRICAL PERMIT �Hc�ATTACH Ep`y9
Job Address: 199 STATION AVE Unit:
Owner Name: GAUVIN MELISSA B
Owner's Address: 199 STATION AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-1005
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps I Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: wire 2 mini split ac units
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 CI Level 1 CI Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $400 Work to Start: July 1, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: WAYNE B SCHMIDT License Number: 33699
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: MARSTONS MLS, MA, 026481929 MARSTONS MLS MA
026481929 Fee Paid: $50.00
Email: wayneschmidtelectrician@yahoo.com Business Telephone: 5087372171
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:
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