EP-510 Report `� v 'I'fiiddlli ll ill L ';,j Fee Pd $ 80.00
Owner Gary P. Pelletier Date2/16/94
Address 9 BLUEBERRY LA, N. D. , 66/2-28 Permit No. 510
Contractor same as above �d2-1 Red
Blue % Z(
Address Green \whit� -`i'4
Remarks NEW DWELLING: 200 amps. , 23 out, 23 fix, 50 rec. , 17 sw. ,
2 ranges 1 dishwasher, 1 dryer, 1 water
heater, 1 oil burner, 3 alarms.
Est. value: $3500.00
Will call .
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Inspected By: Date
WMR_WR_INFO WORK REQUEST INFORMATION PAGE 1 OF 1
MAR 17 , 1994
.
" Work Request No : 63461 Entry Date : 14-MAR-94 Req . Date : 24-MAR-94
Entered By : LEGER, GEORGETTE L . Rate/Rev Code :
WR Type : NEW SERVICE Annual Base Rev :
WR Status : DES Annual KWH:
WR Description : /RES NEW INSTALLATION**THERE WILL BE A PORCH FROM THE
FRONT DOOR AROUND TO BULKHEAD SIDE & END BETWEEN 2 WINDOWS .
WR Name/Customr : PELLETIER, GARY P
Service Address : 9 BLUEBERRY LN Acct#: - -
City : DARTMOUTH
•
Pole/Pad /MH No : 10147 /050-B Lot : 13 Plot :
Designer : LAVOIE , RICHARD G
CONTACTS Name Type Phone No
18 TICKLE RD ELECT ( ) - x
BOYER, JOSEPH ELECT (508 ) 672-8835 x
WESTPORT , MA 02790 ELECT ( ) - x
ELECTRICAL
REQUIREMENTS Service Voltage : 120/240 3W 1PH Number of Meters : 1
Amperage : 200 Type of Heat :
Phase : 1 Meter Number :
Service Location : TERMINATE UG SERVICE AT HANDHOLE AT S . E.
PROPERTY CORNER. TLM#93567
RECEIPT FOR PERMIT ? l
/�� TOWN OF DARTMOUTH ) 31
/� PERMIT NO.
\ i< �� No
9-. 9 y
nA Date //ff//�� yy�---� �
Received From / /f'.K.Yll� -?
Owner .iai17hRL_.
Location g l
Type 6/L2-i,?4,y1.1,C-tOrh-
Amount Paid ii4 2-e&,poo CL" "I- c2 c�7 E
Received By _l{ /✓
RECEIPT FOR PERMIT
ourx. TOWN OF DARTMOUTH °
� „.ito PERMIT NO.
0
ie. io, No f '.
5, / Date / ,
F '%2 • 5 i/ /2 9 '"°
Received From %r<'�?� yj� r' <-ifs
Owner rN !;''/-
Location ,/
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Type
Amount Paid '; , i1D1
Received By - - �- -_
Office Use I 1/The Commitealth of Massachusetts •ermit No. —
f Occupancy&Fee Checked
` i_ Department of Public Safety (leave wank)
BOARD OF FIRE PREVENTION REGULATIONS 527 CMR 12:00 3/90
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
Town of Dartmouth
All work to be performed in accordance with the Massachusetts Electrical Code. 527 CMR 12:00
' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date /2 - - 7 3
The undersigned applies for a permit to perform the electrical work described below.��11 /n& AT-0)--K
(((��� Location (Street&Nu/m�ber) L��Uf�/>P�R/ Ga(reif' / ,� W
Owner or Tenant Crsi y 1//" /�L_ ��f_ /rF/2 '/�� �/7,(1/i0.<• C: /i�/� ...� �,U�feo�,/�e��
-0 Owner's Address 9, ' 2(eO14L MV / i '// /<ri/,F� / /fi 0 2-7 Z 9
Is this permit in conjunction with a building permit: Yes 12i No ❑ (Check Appropriate Box)
Purpose of Building /UFw //0".f Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service Z oc. Amps / Volts Overhead ❑ Undgrd No. of Meters i
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work 41t c-R/c:72 /O,. /i/F_w /An...47 '
No. of Lighting Outlets No. of Hot Tubs Total
gg Z 3 No. of Transformers KVA
_
No. of Lighting Fixtures C. Above ❑ grnd. ❑ Generators KVA
gh g 3 Swimming Pool rbo.
No. of Receptacle Outlets >O No. of Oil Burners I- No. of Emergency Lighting
Battery Units
No. of Switch Outlets 11 No. of Gas Burners FIRE ALARMS NO. of Zones 3
Total No. of Detection and
No. of Ranges 2 No. of Air Cond. Tons Initiating Devices
No. of Disposals No. of Heat Total Total No. of Sounding Devices
!" Pumps Tons KW
No. of Dishwashers d Space/Area Heating KW No. of Self Contained
F Detection/Sounding Devices
No. of Dryers Heating Devices KW C Municipal ❑rl' Local Connection Other
No. of Water Heaters KW No. of No. of Low Voltage
Signs Ballasts Wiring
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
i
I
( INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Polic includin Completed Operations Coverage or its substantial equivalent. YES ❑NO ❑ I haye submitted
valid proof of same to this office. YES LJ NO LI If you have checked YES,please indicate the type of coverage by checking the appropriate box.
INSURANCE ❑ BOND ❑ OTHER ❑ (Please Specify)
Estimated Value of Electrical Work$ ifc (Expiration Date)
Work to Start 'Z-!j'r 7V _ Inspection Date Requested: Rough Final
Signed under the penalties of perjury:
FIRM NAME LIC. NO.
Licensee Signature LIC. NO.
Bus. Tel. No.
Address Alt.Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by
Massac usetts Gener aws d my signature..on this permit application waives this requirement. Owner Agent (Please check one)
(�
--ZSKgnaturB oT UwIIer or AgenE}' Telephone No. '�b8 6i,( -`78‘ PERMIT FEE $ '