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Official Use Only
® Massachusetts Permit No. BLDE-19-001175
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/07)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work lobe performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:8/28/2018
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 714 ROUTE 6A
Owner or Tenant OLOUGHLIN JOSEPH V TRS --- Telephone No.
Owner's Address OLOUGHLIN ALMA C TRS,2 HAROLD ST,HARWICHPORT, MA 02646-1517
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 0 No.of Meters
New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Upgrade lighting.(SEAN TODD,704 ROUTE 6A)
Completion of the following table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Total
Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires 11 Swimming Pool Above ElIn- ❑ No.of Emergency Lighting
grnd. grnd. ,Batten,Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: ,Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
-No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No,of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE:Unless waived by the owner,no permit for the performance of electrical work may issue unless the licensee
provides proof of liability insurance including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such
coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: PAUL M MAGALHAES
Licensee: Paul M Magalhaes Signature LIC.NO.: 16722
(If applicable,enter"erempi"in the license number line.) Bus.Tel.No.:
Address:10 CONDUIT ST,ACUSHNET MA 027432634 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License:
OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But
signature below,I hereby waive this requirement.I am the(check one) ❑ owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$100.00
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• =„ S Occupancy and Fee Checked
\W.# BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:8/23/18
City or Town of: Yarmouth To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location (Street&Number)704 Route 6A
Owner or Tenant Sean Todd Telephone No.
Owner's Address 704 Route 6A,Yarmouth, MA 02675
Is this permit in conjunction with a building permit? Yes ❑ No (Check Appropriate Box)
Purpose of Building Commerce Utility Authorization No.
Existing Service_ Amps / Volts Overhead ❑ Undgrd ❑ No.of Meters _
New Service _ Amps / Volts Overhead❑ Undgrd ❑ No.of Meters _
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Install (11)retrofit fixtures
Completion ofthe followin•table may be waived by the Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of Total
,Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Batten Units
• No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No. nDetenand
Initiating
Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
Tons
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alerting Devices
No.of Dishwashers Space/Area Beating KW Local❑ Municipal 0 Other
Connection
No.of Dryers Heating Appliances Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No,of Devices or Equivalent
OTHER:
Attach additional detail if-desired or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $165 (When required by municipal policy.)
Work to Start:8/27/18 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
INSURANCE COVERAGE: Unless waived by the owner,no permit for the performance of electrical work may issue unless
the licensee provides proof of liability insurance including"completed operation”coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE El BOND ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: M-V ELECTRICAL CONTRACTORS, INC LIC.NO.: 16722
Licensee: Paul M. Magalhaes Signature��� _ems— LIC.NO.: 16722
(Ifapplicable,enter"exempt"in the license number line) Bus.Tel.No.:508-995-3826
Address: 10 Conduit St.,Acushnet,MA 02743 Alt.Tel.No.:508-509-9225
• Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. ^Gil's Cell-PM
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the(check one)0 owner 0 owner's agent.
Owner/AgentPERMIT FEE:$100
SignatureturaTelephone No. t