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WPS - Permit
Work Order Information
Utility Auth/WO #: 01536801 Date: 08/10/2006 Company BEA LORD
Rep:
Report By: YAR 121 CAMP ST U62/63 IC VILLAGES AT CAMP ST
Status: ACTIVE Service: NEW Type: COM
Nature of Work: NEW 20A,120/240V SINGLE PHASE, UNDERGROUND SERVICE FROM'.
PADMOUNT 10256/080A, FOR IRRIGATION CONTROL SPRINKLER SYSTEM
Service Information:
There is no Service Information.
Permit Information
Permit #: E07-126 Meters: 1 Reseal (YIN): Y Date: 08/14/2006
Inspector: W10060 Description:
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http://www.nstaronline.comlapps/wpslwpspennit.cfm?Page=Permit&Unique= t ts_'2006-0.. 8/14/2006
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
�• All work to be performed in accordance with the Massachusetts Electrical Code, (MEC), 527 CMR 12.00
OF y
(OFFICE USE ONLY)
TO H El
v
M MCHHEESE
4•.�a Fee: $ 3S
2006 G
?AUG
�j c 7ti >e PERMIT NO. G
(PLEASE PRINT IN INK OI� i4 it PE ALL INI4OPMATI�N) Date:
To the Inspector of Wires: By this application the undersigned gives notice of his or her inten 'on t �erforrn the electrical
work described below.
Location (Street & ber) (.z G
Owner or Tenant L e— k I & . Telephone No.
Owner's Address u
Is this permit in conjunction with a building permit? [7) Yes 31Z (Check Appropriate Box) 2 /
Purpose of Building Utility Authorization No. 153 G, Q V O 1
Existing Service Amps / Volts OverheadO Undgrd [I No. of Meters
New Service 2,0_ Amps 12Jb / ?mob Volts Overhead❑ Undgrdl2 No. of Meters
Number of Feeders and
Location and Nature
LM
com tenon ol the following taote may oe waivea py the inspector oj wires
No. of Recessed Fixtures
No. of Ceil.-Sus . Paddle Fans
No. of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Above In
SwimmingPool d. rr d.
No. of Emergency Lighting
Battery Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
No. of Zones
No. of Switches
No. of Gas Burners
o. of Detection an
Initiating Devices
No. of Ranges
Total
No. of Air Cond. Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
Number
— —
ons
— —
W
— —
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Municipal
Local Other
❑ Connection
No. of Dryers
Dry
Heating Appliances KW
g pp
SecNity Systems:
No. of Devices or E ui valent
No. of Water
Heaters KW
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. H dromassa a Bathtubs
g
No. of Motors Total HP
Telecommunications Wiring -
lent
No. of Devices or E uivalent
Attach additional detail if desired, or as required by the inspector of wires.
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may be issued 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!5Ae permit issuing office.
CHECK ONE: INSURANCE 0 r, BOND [] OTHER0 (Specify:)
Estimated Valuk of Eleftrical Work:
Work to Start:VJ04 I 64ep,%o Inspebtions to be
I certify, under the ins pena ti per' nth:
FIRM NAME:
Licensee:
(If applicable, erjtF "l"�`'�Tm " t e licenser ntber
Address u�
OWNER'S INSURANCE WAIVER: I am aware that the Li
below, I hereby waive this requirement. I am the (check o.
Owner/Agent
Signature
[Rev.04/001
(Expiration Date) -
(When required by municipal policy.)
i irtac ordance % MEC Rule 10, and upon completion.
i $ tit(Vi on this plication is true and complete.
r' \" LIC. NO.
LIC. NO.
V Bus. Tel. No.:
Alt. Tel. No.:
;s not have the liability insurance coverage normally required by law. By my signature
owner's agent. 0
Telephone