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ELECTRICAL PERMIT ?' � � 7
Job Address: 981 ROUTE 28 Unit:
Owner Name: ATLANTIC DRAGON REAL ESTATE LLC
Owner's Address: 83 INDEPENDENCE AVE Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19637
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: new lighting and outlets
No.of Receptacle Outlets: 34 No.of Switches: 6 Generator KW Rating: Type:
No.Luminaires: No.of Recessed Luminaires: 14 No.Wind Generators: Wind KW Iatii9i,
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: TotaKNi4A:<
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: ''otal KV:( 1O
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No.Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devisi4: i
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Dev/ic/0 , `. .
No.Oil Burners: No.Gas Burners: Video System ■ No. .
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets: f )
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 0 Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 10,000 Work to Start: October 6, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DONALD E YOUNG License Number: 10312
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: RANDOLPH, MA, 023684828 RANDOLPH MA 023684828 Fee Paid: $100.00
Email: dyoungelectric@msn.com Business Telephone: 17819864569
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: Norfolk and Dedham
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