EP-220 70.00
Owner MArk Jenkins Report UJJ I I?.[The
$11/12/92
Address 2 Oakridge Dr. N.D. 77/28 IJ r PermitNo. 220
Contractor Eric Sylvia 13901 Yellow Red
Address 87 Laurel St. Fairhaven 02719 999-2901 ��r •- 2 l h,to-92
Remarks Estimated Cost: $ 1150.00 oc
Modular Home: Service and button-up work.
200AMP 120/240 Volt 4/0
11/13 Ready for service.
\Zei //— / 7-k
Inspected By: Date
WMR_WR INFO WORK REQUEST INFORMATION PAGE 1 OF 1
OCT 30 , 1992
Work Request No : 36005 Entry Date : 30-SEP-92 Req . Date : 13-OCT-92
Entered By : LEGER, GEORGETTE L . Rate /Rev Code :
WR Type : NEW SERVICE WR Status : DES
WR Description : /RES MODULAR HOME - SERVICE AND BUTTON UP WORK
WR Name /Customer : .JENKINS , MARK & DORIS
Service Address : -`-OAKRIDGE< -DR,_ Acct#: - -
City : DARTMOUTH
Pole/Pad/MH No : 853/P4A Lot : 2 Plot :
Designer : PACHECO , JO-ANN L
CONTACTS Name Type Phone No
87 LAUREL ST ELECT ( ) - x
E . S . ELECTRIC & ALARMS ELECT (508 ) 999-2901 x
FAIRHAVEN ,MA 02719 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 SERVICE EAST WALL SOUTHEAST CORNER
INSTALL EYE BOLT 1 ' BELOW WH. TLM# 93499
) r ./
_ The C monwealth of Massach tts Permit No. OfficeU e 07 ty
`_- Occupancy&Fee Checked i 8-73
l
s- 7 0-=
_,_ Department of Public Safety (leave blank) f/d y�-
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 CM 12:00
' (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date // /. 9:,-`
The undersigned applies for a permit to perform the electrical work described below. / .
Location (Street& Number) .- C lthjg ;;--i iCz:Q 27,7 . - //% LI,
r
Owner or Tenant /t4 4f/ - CVO,/'/ /,A,'
Owner's Address -J-9i•i -('
Is this permit in conjunction with a building permit: Yes ❑ No ❑ (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps / Volts Overhead ❑( Undgrd El No. of Meters
New Service -'T� /o-ps b /K Y!/ Volts Overhead Undgrd ❑ No. of Meters -/
Number of Feeders and Ampacity /'`al/ '�/
fLocation and Nature of Proposed Electrical Work /' ieii �.li✓�lf Z( � u —�-�- �c ,�/_/��-� 2 b� ,e � / ter,-/=
No. of Lighting Outlets No. of Hot Tubs No. of Transformers K KVA
No. of Lighting Fixtures 7 Swimming Pool grndVe ❑ grnd. ❑ Generators KVA
No. of Receptacle Outlets r 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
Heat 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
Devices
No. of Dryers Heating Devices KW ❑ Municipal ❑
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:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current Liability Insurance Policy mcluding.$Completed Operations Coverage or its substantial equivalent. YESJN1 NO ❑ I have submitted
valid proof of same to this office. YES IIKNO L i If you have checked YES,please indicate the type of coverage by checkin the propriate box.
INSURANCE BOND E OTHER ❑ (Please Specify) �),, -% "t.'/ C- i - j 7g
(Expiration Date)
Estimated Value of Elecyical Work$ .✓.`'' 0 -- �z/<�.'='2
Work to Start /1 l .'/ Inspection Date Requested: Ilough / d F�nal i' 7� �9,%/l
Signed under the penalties of rjury: - ' j3
�i �
FIRM NAME / . r.4'v/r�'<' 1>= ri .".,✓,r i% s' :;'
/ / Al-
, LIC. NO. i
j Licensee /- -- ✓i —.i9 Signature -,�.-f �y /-1----r.� LIC. NO. %- x. ,l
6 / cry_ / /-- Bus. Tel. No. 5%� --.�2)69� i-
j Address / er6'f'✓2 / ../ / f/ir/isi e:-///a QxT/YAlt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its substantial equivalent as requiretj by
Massachusetts General Laws, and that my signature on this permit application waives this requirement. Owner Agent (Pleasen check one)
(Signature of Owner or Agent)
Telephone No. PERMIT FEE $ 9
RECEIPT FOR PERMIT
S TOWN OF DARTMOUTH 0
PERMIT(CA
0
NO.
No tt4-4" f1..e-
/ Date 4 !`. in? /9'9,A •
Received From 7.Et, --r,l-
Owner _ /1
Location r dolt!i DA za,
Type j :`
rd
Amount Paid /� " /
Received By ( ,1.6/ r(r ./( .9 r,s.