HomeMy WebLinkAboutBLDE-24-351 3/4/24,6:39 AM about:blank
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ELECTRICAL PERMIT
Job Address: 6 MALLARD ST Unit:
Owner Name: DAIGLE BRIAN
Owner's Address: 66 JUNIPER RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-351
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: bath with laundry closet remodel
No.of Receptacle Outlets: 1 No.of Switches: 3 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 1 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: f
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ 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 0 Level 2❑ Level 3❑ Rating: _ -
Estimated Value of Electrical Work: $2,000 Work to Start: May 20, 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 Number:
Address: YARMOUTH PORT, MA, 026752252 YARMOUTH PORT MA
026752252 Fee Paid: $75.00
Email: davidhawkins63@comcast.net Business Telephone: 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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