EP-773 Report ieepd $ 80.00
Owner Long Realty, Inc. Date 6/27/94
Address 26 SUNDANCE RD. , N. D. 79/48-29 PermitNo. 773
Contractor Philip Hawes A7273 99 9 5285 Yellow Red
Blue
Address 30 Brigham St. , N. B. MA 02740 Green 'AO-7ft.
Remarks NEW DWELLING:100 amps. , 240 volts, 1 meter undergrd.
18 fix, 20 rec, 22 sw. , 1 range.
1 dishwasher, 1 oil burner, 7 det.
Est. value: $2300.00
Will call .
7.)
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Inspected By: Date
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WMR WR INFO WORK REQUEST INFORMATION PAGE 1 OF 1
JUN 28 , 1994
Work Request No : 69545 Entry Date : 27-JUN-94 Req . Date : 08-JUL-94
Entered By : MELLO, JACQUELINE A Rate/Rev Code :
WR Type : NEW SERVICE Annual Base Rev :
WR Status : DES Annual KO:
Co
WR Description : /RES--NEW HOUSE
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WR Name/Customr : LONG REALTY INC 7;:
Service Address : 26 SUNDANCE RD Acct#: —60182T-0019
City : DARTMOUTH '� CO
y
Pole/Pad/MH No : 10072 /140-A Lot : Plot :
Designer : LAVOIE, RICHARD G
CONTACTS Name Type Phone No
30 BRIGHAM ST ELECT ( ) - x
HAWES ELECTRIC CO ELECT (508 ) 999-5285 x
NEW BEDFORD,Mk`02740 ELECT ( ) - x
ELECTRICAL
REQUIREMENTS Service Voltage : 120/240 3W 1PH Number of Meters : 1
Amperage : 100 Type of Heat :
Phase : 1 .,. Meter r Number :
(k Service Location :' TERF NATE UG SERVICE AT HANDHOLE BEHIND
P/)
l.e6 \� XFRM#140 AT N . E. PROPERTY CORNER. TLM#93424
X
% 1 -Office Bse Only /
,, � _ The Commonwealth of Massachusetts , -
L =_�� Permit So.
� ��!_ Department of Public Safety
F- Occupancy b Fee Checked y�P v
::
�ysc BOARD OF FlRE PREVENTION REGULATIONS 527 CMR 12t)0 3/90 (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed In accordance with the Massachusetts Electrical Code.527 CMR 12:00
(PLEASE PRINT IN INK OR TYPE ALL L'?FORI&L.'ION) Date 03/tr
City or Town of ph2j/,vo70 To the Inspector of Wires: •
• The undersigned applies for a permit to perform the electrical work described below.
' Location (Street & Number) .16 S/z,uys vc f ALA-1D 7 7/C1 a' 9
Owner or Tenant .49,t/6- Tf' /A/c
Owner's Address 65-8' yeocK/>�44- ,S11/E- A'.LGu 'p/04 "51_ O275/4
' Is this permit in conjunction with a building permit: Yes, No ❑ (Check Appropriate Box)
Purpose of Building NEW 406$27 Utility Authorization NO.
Existing Service Amps / Volts Overhead ❑ Undgrd❑ No. of Meters
New Service /D O Amps /XV / ,2 96 Volts Overhead ❑ Undgrd)21_ No r of l'ers
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work Gu/p "f/ t., /frb�Q �
- ,
(- rn
N n
No. of Lighting Outlets No. of Hot Tubs No. of Transformers Total'!
r- KVA
No. of Lighting Fixtures p Sw�� pal Above❑ In- ❑ ,, i,
�O g grnd. grnd. Generators r- MVA
No. of Receptacle Outlets 2e No. of Oil Burners / No.
of
fyEUnittsncy l htitrBatter rt;'
No. of Switch-Outlets- 2 Z
.._.-- Noo, of Gas Burners FIRE ALARMS No.Total
rn� Zo�
No. of Ranges / No. of Air Cond. No. of Detection ei �— /Zo /jo
tons Initiating Devices""] 3 } /,/i,�� �'
No. of Heat Total Total
No. of Disposals
Ptmvs Tons KW No. of Sounding Devices 3 �+.ie�
v�
No. of Dishwashers Space/Area Heating KW No. of Self Contained
1 Detection/Sounding Devices
No. of Dryers Heating Devices KW LocalEl Municipal ❑Other
Connection
No. of
No. of Water Heaters Low Vo
Signsf Ballasts Wiringltage 900AL $ _
No. Hydro Massage Tubs No. of Motors Total HP
OTHER:
INSURANCE COVERAGE: Pursuant to the requirements of Massachusetts General Laws
I have a current L ability Insurance Policy including Completed Operations Coverage or its substantial
equivalent. YES NO 0 I have submitted valid proof of same to this office. YES NO
If you have checlEed YES, please indicate the type
of coverage by checking the appropriate box.
* INSURANCE,EOND ElTH OTHER El (Please Specify)
Estimated Value of Electrical Work S 2.-3 aO oo
(Expiration Date)
Work to Start 4/.�y/95, Inspection Date Requested: Rough w.,u 4 Final G'/ - 40Lf t
Signed ta.:der�1th. penalties of perjury:
FIRM NAME TT09GvC-S L.EGYR/C Cult Air LIC. NO.
Licensee 171/9wEs ,CLL•-GY7e/C G6 Signature h?F�`�-i,."2— LIC. NO. AV`9 Z 2✓p
Address 30 $R/4 -,,.. Sl- /�, ' a�bra�en i-- o a Bus. Tel. No. q�9-SzBS
7 Alt. Tel. No.
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the insurance coverage or its sub-
stantial equivalent as required by Massachusetts General Laws, and that my signature on this permit
application waives this requirement. Owner Agent (Please check one)
Telephone No. PERMIT FEE S 0 00-____--
(Signature of Owner or Arent)
BC- 84 7 73
RECEIPT FOR PERMIT
e� uTx.,y�' TOWN OF DARTMOUTH -7 73
e�'� PERMIT NO.
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Date �/Lt �� ���
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Received From Yz z/6k fi ze S
Owner /-(.7 /49,1— c!
Location 0.2 4i -C-.� '- • ../(70( -
Type �_, lam► 7Amount Paid 4 �J v ,1 c< / -7?-0
Received By 7 vea
RECEIPT FOR PERMIT
oUT M ms TOWN OF DARTMOUTH -7 73
e PERMIT NO.
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Date ' ?.it_.r 02 7, /? 7
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Location
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Amount Paid & sft ot l 7 ? 7
Received By licubrf