EP-589 Report iL.,V4.11 C r ;! ' 44nd $ 80.00
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Owner Matthew Vangel Dace 4/7/94
Address 15 SUNDANCE RD. , N. D. 76/22-11 PermitNo. 589
Contractor Michael Bell A14031 946 5091 Yellow Red
Blue
Address10 West St. , Middleboro, MA 02346 Green w1-ce)44
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Remarks NEW DWELLING: 200 amps. , 240 volts, 1 meter undergr.
Est. value: $5500.00
Will call .
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Inspected By: Date
WMR WR_INFO WORK ? QUEST 'INFORMATION PAGE 1 OF 1
APR 22. 1994
Work Request No : 65520 Entry Date : 20-APR-94 Req . Date : 02-MAY-94
Entered By : MELLO, JACQUELINE A Rate/Rev Code :
WR Type : NEW SERVICE Annual Base Rev :
WR Status : DES Annual KWH:
WR Description : UG/RES--200 AMP U/GP. SERVICE ON NEW HOUSE--SERVICE INSP . &
READY FOR HOOKUP
•
WR Name/Customr : VANGEL , MATT
Service Address : 15 SUNDANCE RD Acct#: 1600-465-0012
•
City : DARTMOUTH
Pole/Pad/MH No : 10072 /060 Lot : Plot :
Designer : LAVOIE, RICHARD G
CONTACTS Name Type Phone No
MIKE ' S ELECTRIC ELECT (508 ) 946-5091 x
ELECTRICAL
REQUIREMENTS Service Voltage : 120/240 3W 1PH Number of Meters : 1
Amperage : 200 Type of Heat :
Phase : 1 Meter Number :
Service Location : LOCATION OK. TLM#93242
To: 11)aw2_ CURRENT ISSAGES
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The Permit No.Commo wealth of Massachusetts Office Use Only ��9 frif
-* Occupancy&Fee Checked ' # ebiUD
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Department of Public Safety (leave blank)
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 ih accctdance with the Massachusetts Electrical Code. 527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date li/ 7/ ! L/
The undersigned applies for a permit to perform the11electrical work�C descrffied below.
Location (Street & Number) 1 I S Sun do Ac 1F-v0. a /-'7
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Owner or Tenant 111&4Sas) VAQ(7E1 i
Owner's Address 17-2 7--t,ncrl 51-rce-4- FAO '4-.� r c
Is this permit in conjunction with a building permit: Yes ---No ❑ (Check Appropriate Box)
Purpose of Building .I/1 1L F-Arm t 1. 1 v-rc-ll i nC) Utility Authorization No.
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service ____ Amps l20 / Zya Volts Overhead ❑ Undgrd 0-- No. of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work V\1 rct. Iv4. 1"-cA.,SL UM-10 UL- Lc; fL zV
U -O;,Aer �a,v & S ,v,cz
No. of
No. of Lighting Outlets No. of Hot Tubs Transformers Total
__ KVA
No. of Lighting Fixtures Swimming Pool gmdve ❑ grnd. ❑ Generators KVA
No. of Receptacle Outlets No. of Oil Burners No. of Emergency Lighting
Battery Units
No. of Switch Outlets No. of Gas Burners FIRE ALARMS NO. of Zones
Total No. of Detection and
No. of Ranges No. of Air Cond. Tons Initiating Devices
Total Total
No. of Disposals No. of Pumps Tons KW No. of Sounding Devices
No. of Dishwashers Space/Area Heating KW No. of Self Contained
Detection/Sounding Devices
No. of Dryers Heating Devices KW Ti Municipal ❑
Local Connection Other
No. of Water Heaters KW No. of No. of Low Voltage
Signs Ballasts Wiring
t No. Hydro Massage Tubs No. of Motors Total HP ..
= OTHER:
l.
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Polic ncludin Completed Operations Coverage or its substantial equivalent. YE TO ❑ I have submitted
valid proof of same to this office. YES NO LJ If you have checked YES,please indicate the type of coverage by checking the appropriate box.
INSURANCE BOND ❑ OTHER ❑ (Please Specify)
(Expiration Date)
Estimated Value o EI tri al Work$-�
Work to Start yet/� Inspection Date Requested: Rough Final
Signed under the penalties of perjury: / 1
FIRM NAME /ekes (._1cc)'/1vtt� Jj LIC. NO. 4iyo3
�I�� f 71 l Licensee l r cv� Signature O LIC. NO. A)iD3 1
t / Al; I i I Bus. Tel. No. 9V6-;act /
ki Address 10 c S-4-✓�-1- /' cgt_ pro 4U23tg Alt. Tel. No. Si Kt-37-72
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as required by
Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Please check one)
(Signature of Owner or Agent) Telephone No. PERMIT FEE $ MBO-en)
RECEIPT FOR PERMIT
TOWN OF DARTMOUTH 3 dii
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PERMIT NO.
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�� Date r�,_ « / , c/ / 'IL/
Received From //L.i (1,0 a.t--P Z ^---_F
Owner ,4//( i /t (rs r-i 62- �; 1'T
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Location 1 > -'--a '%% '/ h
Type (2, ',`
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Amount Paid } /-`2'-''
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Received By :, , / _y...._--