HomeMy WebLinkAbout2016-2017 Electrical Permits • MAINTENANCE DEPARTMENT
Dennis-Yarmouth Regional School District
296 Station Avenue
South Yarmouth, MA 02664
Telephone: 508.398.7670 Fax:508.398.7663
Sandra Cashen, Facilities Manager Steve Faucher,Assistant Facilities Manager
Cell 508.726.8161 Cell 508.889.8721
Date: July 14,2016
To: Town of Yarmouth Electrical Inspector of Wires
From: Russell Mealey, Electrician License No. 14020-B n-111
Re: Request Annual Maintenance Permit
An electronic copy of all electrical work orders will sent monthly of each school to the Electrical Inspector for
review.
Request annual maintenance permit for July 1,2016 through June 30,2017 from the Town of Yarmouth
.lectrical Inspector of Wires for the following facilities.
DY Regional High School Station Avenue Elementary School DY Administration Office
210 Station Avenue 276 Station Avenue 296 Station Avenue
South Yarmouth, MA 02664 South Yarmouth, MA 02664 South Yarmouth, MA 02664
Kenneth Jenks Peter Crowell Larry Azer
Phone: 508.398.7630 Phone: 508.760.5600 Phone: 508.398.7160
Fax: 508.398.7635 Fax: 508.760.5601 Fax: 508.398.7622
Map/Parcel P/0158/15 Map/Parcel P/O-78/318 Map/Parcel P/O-78/315
Marguerite E.Small Mattacheese Middle School
440 Higgins Crowell Road 400 Higgins Crowell Road
W.Yarmouth,MA 02673 W.Yarmouth,MA 02673
Patrick Riley Ann Knell
Phone: 508.778.7975 Phone: 508.778.7979
Fax: 508.778.7975 Fax: 508.778.7987
Map/Parcel P/O-64/36 Map/Parcel P/O-64/36
Thank you,
RECEIVED.
cc: Kenneth Jenks
Peter Crowell
Larry Azer JUL 25 2016
•
Patrick Riley
AnnKnell Knell BUILDING DEPT.
ev
Sandra Cashen
Russell Mealey
Electrical Inspector Yarmouth_Wires
Institutional Permit Form,page 2
• NOTE: Some institutions enter into contracts with contractors to perform ongoing electrical work at an institution,similar
to institutional employees. I&by the terms of such a contract,you direct the performance of such work,include the num-
bers of such employees in this application. If the contractor directs such performance,of if the contract period is for less
than one year, application must be made by the contractor on the standard form for such work. Do not include such em-
ployees in this application.
Please give your official title,such as"Director of the Physical Plant"or"Director of Facilities"or equivalent, la addition,
provide a statement that substantiates your authority to hire electricians pursuant to c. 141 §8 for electrical work on the prem-
ises of your institution,and to establish priorities for the performance thereof This form is not to be construed as a grant of
authority to direct any licensee of the Board of State Examiners of Electricians to perform work in contravention of the rules of
said Board,or in contravention of the Massachusetts Electrical Code.
My title is: eta!hi Mrnaee r •
My authority to act for the 3f rementioned institution is:
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
(Signanr'-. /a, l : / ef (Dated) 7liLi/I6
(Print name) 3�(r^ /( n
(work telephone number)51:6726,1.(,1 (extension) (facsimile number) 50&398" 7G63
• u s s ,.ife-a-T { L t p oroj Fp ux dfe_ on snwsi—Q-
etarice. Q. ' U lAlf-ftMie_ 01trtct-. 6rOje-i—
.elechrtrc- Loin be. cLa-ne b Al L�Jatl rs
dart SDri ��cS4- . f�n� Fr s nL b f
above �P-ecJ-rtern ns bui I I ba SC-p& zri-a -Ek "173
cat-cl -P�.01 Lel I.1 Cllopli e- -their, Ocon pa+S .
5c5D..„
•
•