EP-64737 n_ TO N F HTMOUTH - BUILDING DEPARTMENT RECEIPT 6 4 7 3 d
.
a/ fBFI "s508.910.1820 FAX: 50 Ce 1-910.1838
ihip hc
Namt/".& S i'/ !t 7d✓;' — Property Owner: / /C DatC /ici-I ill/
Job Location: //c2,,t-. -at-+ L Map: 4, Lot: / j
Description General Ledger #'s Ref. # Amount
Btuilding & Building Misc. 01000-44105
Electrical 01000-44106 1.1e 19 ` c
Plumbing & Gas 01000-44107
Trench Safety 01000-Ta 'RTEICel) $
CoLLE TOR'S OFFICE
Other Department Revenue 01000-42 20 '
0 252011
White-Collector's Office Yellow Copy-Customer's Receipt Pink Copy-Building Department Received By
THIS IS NOT A PERMITILICENSE FOR BUILDING, ELECTRICAL, PL G OR GAS
l.Omrnarswea(Ih o tt/a.i.,Letti Offiei e L 7
_}di._5 cy c7 s Permit No.
_ �1� � ¢partment o� ire Serviced -
tI s BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '7 Sr.to
v.v,� [Rev. l/07j (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WCRK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 MR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) D ////r//
City or Town of: 1%A t27-7'2b(// 6J o the Inspector of Wires:
By this application the undersigned gives notice of his or her intention top dorm the electrical work described below.
Location(Street&Number) // S-7 p Fi II/7 /iJ 17
Owner or Tenant li L., /3 /R 47 TO ///'4
Telephone No.
Owner's Address riff h f:
Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
Purpose of Building C-A 24 CI; flit C,A/7/J6-71- Utility Authorization N , �,
Existing Service Amps / Volts Overhead Undgrd❑ No.of Meters
New Service Amps / Volts Overhead Undgrd ❑ o.of Meters
Number of Feeders and Ampacity I-- 'o Q f J/°
Location and Nature of Proposed Electrical Work: g PIA rt. F7 9 a RO
Completion of thejo wing tabl may be waive the lnspecto of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans o.osf To
Transformers A
',I No.of Luminaire Outlets 4/ No.of Hot Tubs Generators KVA
No.of Luminaires - Swimming Pool Above In-. No.of Emergency Lighting
grnd. grad. Battery Units
No.of Receptacle Outlets a No.off/it Burners FIRE ALARMS No.of Zones
No.of Switches 2 No.of Gas Burners No.of Detection and
initiating Devices
No.of Ranges - No.of Air Cond. Tonsl No.of Alerting Devices.
No.of Waste Disposers Heat Pump Number._Tons__KW No.of Self-Contained
Totals: T - — Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑CoMunnnectionicipal 0 Other
No.of Dryers Heating Appliances KW Security Systems:* Equivalent
No.of WaterNo.of Data Wiring:
No.of No.of Devices or
it%
Heaters KW
Signs Ballasts No.of Devices or.Equivalent
No. Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
i No.of Devices or Equivalent
OTHER:
�. Attach additional detail??desired or as required by the Inspector of Wires.
Estimated Value of Ele tricot Work: /n/ (When required by municipal policy.)
Work to Start .... c� Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COV RAGE: 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.
CHECK ONE: INSURANCE DVIOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties ofperjury,that the information on this application is true and complete. -
FIRM NAME: 0-4-12,-;7 4 441 4-4-2a5 aL
fric- Co Gflr LIC.NO.: /3l`7/A
Licensee: Qzt$74t7 /`J 4 e7 , Signature, �.9-td - LIC.NO.: /J-o'yV/z
(If applicable,enter"exempt' in the license number line.)
Address: /7 a 7,7 /?/Z_ Az AP 'z '2 -L'Z. Alt.Tel.No.: a v 7 Bus.Tel.No.. 6 V>7 4,T
q'
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safet
y"S"License: Lic.No.
OWNER'S INSURANCE WAIVER:. I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)❑owner ❑owner's agent.
Owner/Agent
Signature - - Telephone No. PERMIT FEE:$ 7s,00
Ordinance No. 2008-20
CUB- of Nall i&iirr, cfn re-6, Wound/
BE IT ORDAINED by the City Council of the City of Fall River as follows:
That the Appendix A-Fee Schedule of the Revised Ordinances of the City of Fall River, Massachusetts
(1999) be amended, as follows:
By striking out Section§ 10-176 under Chapter 10 in its entirety and inserting in place thereof, the
following:
Chapter 10. Buildings and Building Regulations
§ 10-176- Electrical permit fees.
(1) Complete residential wiring,includes service, outlets,majorappliances: -
a. With oil or gas burners and attached garage $100.00
b. With electric heat and attached garage......................... $119.00
(2) Temporary service and meter work $56.00
(3) Garage, separate from home.................................................... $50.00
(4) Major appliances, per unit $37.00 j
(5) Outlet, receptacles, switches, fixtures, old house, per rehab unit $62.00
(6) Increase or replace service $62.00
(7) Swimming pools, septic systems $50.00
(8) Fire alarms, burglar alarms $37.00
(9) Oil burner, gas burner or electric heat $37.00 -
(10)Annual permit $312.00
(11)Camivals-concessions $62.00
(12)Commercial: .0
a. Estimated cost$1.00 to$3,000.00 .... $50.00
b. Estimated cost each additional$1,000.00 $5.00
(13)Re-inspection each $31.00
(14)Surcharge for commencing work without a permit DOUBLE
(15)Late application surcharge fee per day $62.00
(` In City Council, May 13, 2008 A true copy. Attest:
I Passed to be ordained, 7 yeas, 1 nay
41,4V Approved, May 20, 2008 �:Gf/<-rix f U�����`^r"''
ct
Robert Cocrreia,-Mayyor City Clerk