HomeMy WebLinkAboutBLDE-23-16028 #29 6/8/23,3:09 PM about:blank
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It ELECTRICAL PERMIT ` ' ',
Job Address: 107 SOUTH SHORE DR Unit:
Owner Name: KJ INGOLD LLC C/O SURFCOMBER MOTEL
Owner's Address: 112 SOUTH SHORE DR Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-16028
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Unit 29 installed exhaust fan, replaced switch, replaced GFI with
Arcfualt/ gfi combo, installed arc fault receptacle, ‘,0_,
No. of Receptacle Outlets: No.of Switches: Generator KW Rating:
.. S)433
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind , l(
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: TotalnSpace Heating KW: Heating Equipment KW: No. Motors: Total HP: TotalV/c� ��
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System CINo.of Devices: 4d, `�' s/
Swimming Pool: In-Grnd.CI Above-Grnd.❑ Hot Tub CI No.of Self-Contained Detection/Alerting Devices: �/ /�
No. Oil Burners: No.Gas Burners: Video System ❑ No.of Devices: <1
No.Air Conditioners: Total Tons: Telecom System CINo.of Outlets: �j� U
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 Cl Ground-Mount El Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,475 Work to Start: November 22, 2021
FIRM NAME: License Number: A11149
Master/System and/or Journeyman Licensee: LANCE A MACENERNEY License Number: 11149
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026732560 W YARMOUTH MA 026732560 Fee Paid: $80.00
Email: office@fullerelectric.net Business Telephone: 5087750030
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: Acadia
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