HomeMy WebLinkAboutBuilding 73 - Unit 23I - E-97-202-„
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'•'•'• ' BOARD OF FliIE � �t14N RICO A1FaNS $27 OUR 1L00 i/!0�•"'' • •
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1pP1.ICATI®it�i1�• PE 1T `1O PERFORM ELECT 16A,
/►11 enuh per mad sn secerdaaee e+Ad� Ie s-ssachuseas Dwrksl Cede. $27 GO
Pmar- 'rpm Tit um ®E 'STYE Am TMFORMAYI014) ' :ante r tl
City or Torn of • Yarmouth To the uspeeto
The undersigned applies for a pertit to peclorm,the electrical %**etsteribe0 be
Location (Street &Number) Bld 7 Un4A 231 "West
owner's 'Wress ! u nlLL5 ..-LL%-ul� _ ---
Is•this .remit in Conjunction Britt► a bUilding•permits Yes J3 No �. (Check Appropriate Box)
Purpose of Building House Utility Authorization, No•
Existing Service _ 1�mps / Volts overhead�^^ 11r►dEtd❑--11 No. of Meters__
• &w Serv'ite 15Q•____Aaps 120_ / 2 40 Volts overhead t_J Undgid t31 No. of Meters_
Number of Feeders and Anpacity 2
Location and Nature of Propoatd Electrical Work
No. of Lighting Outlets
• Uro. of Lighttfig fixtures ' 10
No. of Rtctptacle Outlets 30
No. of 60tch outlets A
No. of Ranges
No. of Disposals
-Wo.`of Diil+usibe:s
No. of Dryer
No. of t stet Heaters
No. of Not Tubs
Swiming Pool Above
grn4
No. of Oil Burutts
No. of Cas siusners
1
No. of Air Cond. 1 -Coni
1
No. of Oat Total Total
s Tons 1N
-
IZe+:tlArta skating
1
treating Devices rw
1=-W
o. o
��nt EallaIto
No. of Transformers _Y,1►A
:neratois . �A .
of raancy Lighting
FIRB ALARtL3 ho: of tones
No. of Dttectton and
Initiating Devices ..__.
No. of Sounding Devices
No. of Set Contained
Deteetlon Sc1Lnit:isg L`+e�+e: e s ....3
lhmicipalOther
local® Connecttont_1
�,ow Voltage ••
No. ltydco !Sassaae Yom" �- of [w.►--" ,
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IHsunwxcs COVEx!LBI Pursuant to the requirement a of tiassachusetts Central Laws
Z ;late a yurX•ntdabl ltv i .ranee polfvr Inc11�Atn Completed t'�t=at�nna w.�.da or ars substantial
!� ,equt+ai:nt. ns gaiutvE su atcten va Q ov: , . •ams o this office. YTS[] No ❑
_�• Ix you na✓s checked YES, please indicate the type of coverage by checking the appropriate box.
INSURANCE ® BoND [] OTHER ❑ (Please Specify) Rogers & Gray 11/97
�!(Expiration ate
Estimated Value of Electrical Work S 3500'
Work to Start Inspection Date Req"este41 Rough Final .
\ Signed under the penalttes of perJuryl
FIRM NAM Bayside Electrical ,Contracto Inr .2 IC.; No, 4768
Art2`ur P. Doherty signature . ll-� tic. No. E24766
Address 1645 TclY�nouth IZd. e.aL�ryille` Sus. Tel. No._7�-727,
Alt. Tel• Nor
pM&IS INSURANCE WAIM: I as aware that the Licensee does not have t" insurance soverase or its su -
atantfal equivalent as required by Massachusetti Veneral Laws, and that t
at my signature on 'kis Ferwit
application valves•thle requirement., Owner Agent (Please 'theek one) •• '' k
Telephone No. PIRlQT FEE•__
ignature Of er or Agent } ! �f••'.
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