HomeMy WebLinkAboutBLDE-24-1374 9/5/24,5:58 AM about:blank
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ELECTRICAL PERMIT /Hc�RPORATE0�b4
Job Address: 11 CORPORATION RD Unit: _
Owner Name: CLOUD FIVE TRUST
Owner's Address: 1 SIDDHARTH LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-1374
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Grounding with footings
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: In-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 El 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 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $700 Work to Start: September 4, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: SHAWN M RICARD License Number: 40451
Security System Business requires a Division of Occupational Licensure
"S" LIC. License mb
Address: ORLEANS, MA, 026534815 ORLEANS MA 026534815 Fee P.. ,� 0 (�
Email: info@ricardelectric.com Busine one: 48012921
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: Safe Harbor Insurance Agency,, Inc
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