HomeMy WebLinkAboutBLDE-24-440 expired 3/20/24,6:02 AM about:blank
Commonwealth of Massachusetts de Y�
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�«uELECTRICAL PERMIT ,c`,ik
Job Address: 9 CIRCUIT RD WEST Unit:
Owner Name: SUMMER NICOLE S
Owner's Address: 9 CIRCUIT RD WEST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-440
Existing Service Amps/Volts Overhead ❑ Underground 0 No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring from panel to condenser for a mimi-split system.
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❑ 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 0 Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 750 Work to Start: March 26, 2024
FIRM NAME: A-1 License Number:
Master/System and/or Journeyman Licensee: BENJAMIN MADDEN License Number: 22673
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BOXFORD, MA, 01921 BOXFORD MA 01921 Fee Paid: $50.00
Email: hvac-permitting@callrevise.com Business Telephone: 978-270-0063
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: Hub International NE
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