HomeMy WebLinkAboutBLDE-24-831 5/24/24,6:00 AM about:blank
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ELECTRICAL PERMIT
Job Address: 28 WITCHWOOD RD Unit:
Owner Name: VARGOV GEORGI
Owner's Address: 28 WITCHWOOD RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-831
Existing Service Amps/Volts Overhead ❑ Underground Li No. of Meters:
New Service Amps /Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Garage conversion to master bedroom and bath. Wiring as needed
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: 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 El 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 El Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 3,000 Work to Start: May 25, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSHUA JONES License Number: 23155
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SANDWICH, MA, 02563 SANDWICH MA 02563 Fee Paid: $75.00
Email:jones.westview@gmail.com Business Telephone: 5082770401
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: Citizens Insurance Company of America
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