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BOARD OF FIRE PREVENTION REGULATIONS
_ 0M6111 Use Only
Permit No.
Occupancy and Fee Checked
ltcv. IVj (lave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be perfonned in accordance with the Massachusetts Flectrical Cale (MEC). 527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMA770N) Date: 2-) Gj }',, :A
City or Town of: LL r rm ni itlA To the Inspec;or of Wires:
By this application the undersigned gKd notice of his or her intention to perform the electrical work described below.
Location (Street & Number) S h ny--L Or
Owner or Tenant Telephone No.
Owner's Address
Is this permit in conjunction with a building permit? Yes
Purpose of Building
Utility Authorization No.
Existing Service Amps ! Volts Overhea
LM SSrAU 2_�Amps / Volts Overhead ❑
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work:
U No. of Meters
Undgrd No. of Meters
Co m letion -f the ollowin table m , be wolved by the / t W4
at ns c or o res.
No. of Recessed Luminaires No. of Cell. -Snap. (Paddle) Fans o, o ota
Transformers KVA
No. of Luminalre Outlets No. of Hot Tubs Generators KVA
No. of Luminaires Swimming Pool Above ❑ n- ❑ o. o mergency , g ng
rnd. rnd. Battery Units
No. of Receptacle Outlets No. of Oil Burners FIRE ALARMS No. of Zones
No. of Switches No. of Gas Burners o. or Detection an
Initiating Devices
No. of Ranges No. of Air Cond. Togs No. of Alerting Devices
No. of Waste Disposers eat Pump _umr ors._ o. o e ontsined
Totals: _.. ,, _ Detection/Alertini Devices
No. of Dishwashers Space/Area Heating KW Local ❑ unit pa ❑ other
Connection
No. of Dryers Heating Appliances KW cyy
No of Devfces or Equivalent
o. o r W ater o. o N o. o
Heaters KW Signs Ballasts Data Wiring:
No. of Devices or Equivalent
No. Hydromassage Bathtubs No. of Motors Total HP Ia ecommu alcations ring:
No. of Devices or E uivalent
OTHER:
Atrach additional detail lift fired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
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.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and p nolties of perjure, that the Information on this plicatf' n is true and complete.
FIRM NAME:, V 7° �. C 1 LIC. NO.-
-
Xi, i guature LIC. NO.:
t/f applicable. enter " tarp to the licenr number line./ r Bus. Tel. No.:
Address: L t - 5 fU Alt. Tel. No.:
"Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" Lieensel Lic. No.
OWNER'S INSURANCE: WAIVER: 1 am aware that the Licensee does not hates the liability insurance coverage normally
required by law. By my signature below, 1 hereby waive this requirement. I ant the (check one) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. [ PER.MIT FEE: S
Atrach additional detail lift fired, or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: Inspections to be requested in accordance with MEC Rule 10, and upon completion.
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.
CHECK ONE: INSURANCE ❑ BOND ❑ OTHER ❑ (Specify:)
I certify, under the pains and p nolties of perjure, that the Information on this plicatf' n is true and complete.
FIRM NAME:, V 7° �. C 1 LIC. NO.-
-
Xi, i guature LIC. NO.:
t/f applicable. enter " tarp to the licenr number line./ r Bus. Tel. No.:
Address: L t - 5 fU Alt. Tel. No.:
"Per M.G.L. c. 147, s. 57-61, security work requires Department of Public Safety "S" Lieensel Lic. No.
OWNER'S INSURANCE: WAIVER: 1 am aware that the Licensee does not hates the liability insurance coverage normally
required by law. By my signature below, 1 hereby waive this requirement. I ant the (check one) ❑ owner ❑ owner's agent.
Owner/Agent
Signature Telephone No. [ PER.MIT FEE: S
Additional Equipment:
Generator: KW:
Phase:
Motor(S) : Total # : largest HP: Phase:
Type of Starting Compensation (choose one): Hard Soft
Purpose:
Locked Rotor AMP:
Capacitor VFD
*See Article 802 of Eversource Information and Requirements Book for Maximum LR current and Three Phase
Protection *
Contact Name (circle appropriate):
Customer/Contractor/Consultant: Revoli Construction Co. Inc. Paul Bunker
Street Address: 90 Earls Way
City, State, Zip: Frankiin MA. 02038
Telephone: 978-815-7825 Best Time to Call: 7am-5om
Pager: Fax: 508-520-2355
Cell: 9788157825
Electrician: Patrick Lewis License Number: 23565-A
Business Name: HMS
Street Address: 351 Grove St.
City, State, Zip: West Roxburv, MA. 02132
Telephone: 6179471526 Best Time to Call: 7am-5pm
Pager: Fax:
Cell: 6719471526
Please note that by Interconnecting with Eversource's Distribution System the Customer of Record
acknowledges that they have reviewed and are in compliance with the Eversource Information & Requirements
for Electric Service (Blue Book).
For New Commercial Services, New Residential Developments, New 13.8KV Two Line Station Electric Service,
please provide (2) copies of City/Town approved site plans that illustrates the new facility location and the proposed
location of the new utilities (electric, gas, water, sewer, telecommunications) and a One -Line Diagram.
For Service Increases at existing facilities, please submit a One -Line Diagram if available.
For New Residential Services where a pole must be set, please provide (2) copies of a site plan that illustrates the
proposed location of the new facilities.
For Temporary Service Requests, please provide (2) copies of a site plan illustrating service location.
You may Fax this Form or mail any additional correspondence to:
Brian Mello
Eversource Energy
50 Duchaine Blvd.
New Bedford, MA, 02745
Tel: (508) 441 — 5832
brian.mello eyersourcC coral
FOR EVERSOURCE USE ONLY
Eversource Revenue Allowance:
KVA or KW rating of Existing Loads (if applicable):
Existing Winter Peak Demand:
Existing Summer Peak Demand:
Eversource Rate:
Month/Date/Year:
Month/Date/Year:
Elliott, Ken
From: PATRICK LEWIS <+16179471526>
Sent: Monday, March 11, 2024 8:21 AM
To: Elliott, Ken
Subject: Voice Mail (53 seconds)
Attachments: audio.mp3
Attention!: This email originates outside of the organization. Do not open attachments or click links
I
unless you are sure this email is from a known sender and you know the content is safe. Call the
sender to verify if unsure. Otherwise delete this email.
Hey, Ken, how are you? It's Patrick, the electrician at South Shore. Dr. Sorry, I'm running behind. I had to. I had
something get messed up at my shop. They were supposed to do a delivery of material for the panel, but
supposedly the page, the delivery never came. So I was kind of stuck there waiting, trying to get an answer out of
someone quite took off. But I'm coming by when I got that sheet of paper with a better explanation, I guess, of
where all those services are located. I could just drop that off at his desk, I guess, if you're not there, but I mean that
my GPS says I'll be there around 8:36, but I know you get going on the road at 9:00, so if you can give me a shout
back, that'd be great. My number is 617 947-1526. Thank you. Bye.
You received a voice mail from PATRICK LEWIS .
Thank you for using Transcription! If you don't see a transcript above, it's because the audio quality was not clear enough to
transcribe.
Set Up Voice Mail
Elliott, Ken
From: Patrick Lewis <hmslandscapeconstruction@gmail.com>
Sent: Thursday, March 21, 2024 12:33 PM
To: Elliott, Ken
Subject: Re: Evesource
�.i Attention!: This email originates outside of the organization. Do not open attachments or click links
unless you are sure this email is from a known sender and you know the content is safe. Call the
I, sender to verify if unsure. Otherwise delete this email.
v'
Ken,
3? 1 sent 6 that were ready?
Pine grove
192
Lyndale
220
Mayo
250
Patrick Lewis
617-947-1526
https://ww-w—bmsindu5trie5iacfop.com/
On Mar 21, 2024, at 12:29 PM, Eiliott, Ken <KElliott@yarmouth.ma.us> wrote:
The three temps that you requested were called into Eversource yesterday.
Sent from my iPhone
On Mar 21, 2024, at 12:26 PM, Patrick Lewis
<hmslandscapeconstruction@gmail.com> wrote:
iJI
Attention!: This email originates outside of the organization. Do not open attachments or click links
a�
unless you are sure this email is from a known sender and you know the content is safe. Call the
sender to verify if unsure. Otherwise delete this email.
:a
Ken,
On Mar 21, 2024, at 12:26 PM, Patrick Lewis
<hmslandscapeconstruction@gmail.com> wrote:
5 Attention!: This email originates outside of the organization. Do not open attachments or click links
i unless you are sure this email is from a known sender and you know the content is safe. Call the
sender to verify if unsure. Otherwise delete this email.
Ken,
Hope all is well. Just checking to see when you're calling in
ever source? Big project on pause until you say the word sir.
thankyou
Patrick Lewis
617-947-1526
Utps://www.hm3iaduatriesir�cma.com/
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