HomeMy WebLinkAboutBLDE-23-20084 12/28/23, 11:59 AM about:blank
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ELECTRICAL PERMIT �' " '' I
Job Address: 21 LYNDALE RD Unit:
Owner Name: WOOD MARY ELLEN
Owner's Address: 680 W HICKORY ST Phone: 303-717-3003 Email: maryellenwood68@gmail.com
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-20084
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead D Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Minisplit wiring
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: 0 KW: No.Water Heaters: KW: No.Transformers: Total KVA:. `
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: —I ;'Total KW:
No.Heat Pumps: 0 Total KW: Total Tons: Fire Alarm System❑ No.of Deviees:
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: 1 Total Tons: 3 Telecom System ❑ No.of Outlets:
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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: $ 500 Work to Start: Dec 2023
FIRM NAME: TRIFORCE MECHANICAL, INC. License Nu er:
Master/System and/or Journeyman Licensee: Kung-Po Tang License Nu er: 8505 7)
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Brewster, MA, 026311604 Brewster MA 026311604 Fee Paid: $50.00
Email: hello@triforcecapecod.com Business Telephone: 5088278888
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: The Hartford
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