HomeMy WebLinkAboutBLDE-23-19282 8/2/23,6:34 AM � .� about:blank
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' ELECTRICAL PERMIT MAT!` rats �`'
Job Address: 232 ROUTE 6A Unit:
Owner Name: PALMER MICHAEL PALMER MARGO E
Owner's Address: 16 HELDERVUE AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19282
Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps /Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: wiring for 2 quad zone fuji systems
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 0 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 ❑ 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 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 800 Work to Start: August 31, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ANDREW M LEVESQUE License Number: 17318
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: HARWICH PORT, MA, 026461831 HARWICH PORT MA
026461831 Fee Paid: $50.00
Email: rachael@hphcllc.com Business Telephone: 5084323959
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: Selective Insurance
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