HomeMy WebLinkAboutBLDE-24-838 5/28/24,6:30 AM about:blank
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ELECTRICAL PERMIT --
Job Address: 9 EMBASSY LN Unit:
Owner Name: VAILLANCOURT CHARLES J
Owner's Address: 9 EMBASSY LANE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-838
Existing Service Amps 100/240 Volts Overhead Underground ❑ No. of Meters: 1
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: new 2nd fl addtion and 1st fl remodel
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 a No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub a No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System a No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System a No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount a Ground-Mount❑ Level 1 a Level 2 a Level 3 a Rating:
Estimated Value of Electrical Work: $ 10,020 Work to Start: May 28, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DAVID M HAWKINS License Number: 31112
Security System Business requires a Division of Occupational Licensure
"S" LIC. License er:
Address: YARMOUTH PORT, MA, 026752252 YARMOUTH PORT MA
026752252 Fee Paid: $75.00
Email: davidhawkins63@comcast.net ep one: 7742120625
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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