HomeMy WebLinkAboutBLDE-23-19643 10/9/23,2:33 PM about:blank
Commonwealth of Massachusetts �og•�ya
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ELECTRICAL PERMIT
Job Address: 17A VALLEY RD Unit:
Owner Name: THOMAS SARAH P TRS MARY ELLEN PIERCE IRREV TRST
Owner's Address: 760 HIGHLAND AVE#19 Phone: 781-864-6527 Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19643
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground El No. of Meters:
Description of Proposed Electrical Installation: Tri-Zone Ductless I
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: i�
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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: 1 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 0 Level 1 ❑ Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 700 Work to Start: October 6, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ROBERT E BOWDOIN License Number: 51981
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Plymouth, MA, 023601930 Plymouth MA 023601930 Fee Paid: $50.00
Email: bowdoinelectric@gmail.com Business Telephone: 774-368-0767
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: AIM Mutual
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