HomeMy WebLinkAboutBLDE-23-19061 7/6/23,6:18 AM about:blank
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Commonwealth of Massachusetts -og Y,
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ELECTRICAL PERMIT '
Job Address: 27&29 MILL POND RD Unit:
Owner Name: SIVITSKI ANATOLI BARODKA KATSIARYNA
Owner's Address: 27 &29 MILL POND RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19061
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 .of Meter :
Description of Proposed Electrical Installation: Replace the main panel only with a new on for" 7 Mill Pond d."
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type: /
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating: c57
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.0 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: $2,000 Work to Start: July 5, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: IVAN GARUTA License Number: 58823
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: CENTERVILLE, MA, 02632 CENTERVILLE MA 02632 Fee Paid: $50.00
Email: support@lainner.com Business Telephone: 508.827.1514
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:
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