HomeMy WebLinkAboutE-09-869 # 108 Electrical PermitsWPS - Permit
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WPS - Permit
Work Order Information
Utility Auth/WO #: 01499045 Date: 01/17/2006 Company LINDA BISHOP
Rep:
Report By: YAR 121 CAMP ST LqFFwwwL
LAGES AT CAMP ST
Status: PLAN 96vice: NEW Type: RES
Nature of Work: NEW 100AMP U/G SERV TO HANDHOLE ON PROP LINE .... TRANSF#P100B... RES
DEV MILL POND ... CROSS ST BUCK ISLAND RD.... RES DEV W/O# 1171520 AND
1171519 .... 1200 SQ FT...ELECT RANGE,DRYER... NO A/C ... GAS HT HW...NO
JACUZZI OR HOT TUB
Service Information:
There is no Service Information.
Permit Information
Permit #: E06-668 Meters: 1 Reseal (YIN): Y Date: 04/11/2006
Inspector. W10060 Description:
NSTAR Home WPS Lo9on WPS Hemel Comments WO Request WPS News
MA ACM.
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Images, text or other content at this web site must be granted by NSTAR, Boston, MA, USA. Unauthorized modification of any information
stored at this site may result in criminal prosecution.
http://www.nswonline.comlappslwpslwpsperTnit.cf n?Page=PerTnit&Unique= f ts_'2006-0... 4/11/2006
- APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code, (MEQ, 527 CMR 12.00
OF Y
o3.t 4'93,0 (OFFICE USE ONLY)
TOWN OF YARMO TH By
MA ACXEESE Fee: ATM� � i
PERMIT NO.
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:
To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical
work described below. Q
�Location (Street & ber l- e-
S�.e
Owner or Tenant eleph ne No.
Owner's Address
Is this permit in conjunc .on with a building permit? Yes 71No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead Undgrd 71 No. of Meters
New Service �v== Amps lZx / ?Notts Overhead Undgrd 9' No. of Meters 1
Number of Feeders and Ampacity-43 A4 t O�-7
Location and Nature of Proposed electrical Work: � e>
Completion of the. following table may be waived by the Inspector of 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 grnd. grnd.
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
No. 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:
Num er
— —
Tons
— —
KW
— —
No. of Self -Contained
Detection/Alerting Devices
No. of Dishwashers
Space/Area Heating KW
Municipal
Local 71 Connection 0 Other
No. of D ers
rY
Heatin A liances KW
g pp
Secutity Systems:
No. of Devices or Equipvalent
No. of Water
Heaters KW
No. of No. of
Signs Ballasts
Data Wiring:
No. of Devices or Equivalent
No. H dromassa e Bathtubs
Y g
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equ ivalent
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
I force, and has exhibited proof of same to t permit issuing office.
CHECK ONE: INSURANCE BOND C] OTHER71 (Specify:)
(Expiration Date)
Estimated Value of Ele trical Work: (When required by municipal policy.)
Work to Start: - Ins ections to be requested *n accordance with MEC Rule 10, and upon completion.
I certify, unde the 'ns and p ties ejur, 1
NAME: `- L
cen ensee:
(If applicable t "exp ' 11�the lice umb,
Address-
OWNER'S INSURANCE WAIVER: I am aware that the
below, I hereby waive this requirement. I am the (check
Owner/Agent
)ration this application is true and complete
' �--t LIC. NO.
LIC. NO.
Bus. Tel. No.:
Alt. Tel. No.Fs
�s not have the liability insurance coverage normally required by law. By my signature
71 owner's agent. 0
Signature
[Rev. 04/001
Telephone