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Official Use Only
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Massachusetts Permit No. BLDE-20-001367
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/07]
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:9/11/2019
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to pertorm the electrical work described below.
Location(Street&Number) 597 FOREST RD
Owner or Tenant TOWN OF YARMOUTH Telephone No.
Owner's Address CENTRAL DUMP, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. .,-5(0 0 8 t 0
Existing Service 200 Amps Volts Overhead a Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd El No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Relocate 0/H service to U/G.
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 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery 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 0 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: JOHN H BREWER
Licensee: John H Brewer Signature LIC.NO.: 14092
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:205 CEDAR ST,W BARNSTABLE MA 026681324 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) 0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $0.00
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k Crr CJ<dig teg
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Official Use Only
Commonwealth of Massachusetts Permit No. - i
• -_ 1 Department of Fire Services
{' ." Occupancyand Fee Checked
r` - BOARD OF FIRE PREVENTION REGULATIONS (KeV' I/Uj (leave blank) -
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code ��� / 12.00
(PLEASE PR IN INT INK OR TYPE ALL INFORMATION) Date:
City or Town of: f,ii�1 ?0,(J.77V To the Inspector of Wires:
By this application the undersigned of es notic of his or er intention to perform the electrical work described below.
Location(Street&Number): . d ( o 4 t- i
Owner or Tenant wl 1 9-'7 CN Telephone No.
Owner's Address
Is this permit in conjun 'on with a building permit? Yes El No (Check Appropriate Box)
Purpose of Building Adr":1 6 Uti' Authorization No.
in erviceac m . 7 olts Overhead Undgrd Il No.of Meters 1 ,
Existing S ps 0
New Service c. Amps✓ JN oits /Overhead Undgrd No.of Meters /
Number of Feeders and Ampacity 3 0' 77 /14, _
r i ��Lo 'on and Nature of Proposed Elect
l f `v)' " -/
Completion of the following table may be waived by the Itpector of Wires
No.of Total
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers ICVA
No.of Luminaire Outlets No.of Hot Tubs Generators ICVA
above In- No.dtEmergency Lighting
No.of Luminaires Swimming Pool grnd. II grad- II Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Detection and
No.of Switches No.of Gas Burners initiating Devices
Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
- Heat Pump Swatterwas KW No.-ofsd6t:oe
No.of Waste Disposers Totals:I i �� Detection/Alerting Devices
Munia
No.of Dishwashers Space/Area Heating KW Local"'Connection II Other
No.of Dryers Heating Appliances 'CW Security of SDevices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
Telecommunications Wiring:
No. Hydromassage Bathtubs No.of Motors Total BP 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: 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 CC BOND 0 OTHER Q (Specify:)
I certify,under the pains and penalties ofperjwy,Oat the Inform ti' �,r this applicaii is true and complete.
FIRM NAME:John Brewer Electric /Vieth? .- -' (6f 414a, U.741 LIC.NO.:E21949
Licensee: .. / ,fie 9' Signature c .o •�+_..4-•-"'�- LIC.NO.:A14492
(If applicable enter 'exempt"in the license number line.) -` r Bus.Tel.No.:
t �." .7 t p ' Alt TeL No.:508-367-0167
Address: 73 i\rTi�iA C� t�3�,lY.Ir�%�3'�•,.� fa/US J�
9'er M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
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) Elmer I]owner's agent.
Owner/Agent PERMIT FEE:Signature Telephone No.
L VG/JVUIL.0 LIICI yy
ervice Address: City: Page Number: Auth.No. Work Order Number:
600 FOREST RD YAR (72) 10 1 Pages
2360810
ustomer's Name/Title: Prepared by: Date
YARMOUTH, TOWN OF STEVEN GONZALES 10/7/19
ales Representative: TEXT Circuit Number: 4-92A-92
REMOVE 200A OH SVC
lectrician: HAYDEN, LAURA 508-398-2231 TO BUILDING Tenn: 70256
948-250
witch Size: Secondary Sheet Number:
N -n
O
73
W E N
s73 47/75-A
d
47/76
Li
• /75
Yarmouth Dump
EVERSOURCE TO: 31 .
REMOVE 200A OH SVC TO BUILDING
- ''' '-- :
47/75A- REM 85'#3/0 ALCA QUADRUPLEX
47/75A-CONNECT OH-UG SVC UP THE POLE
Eii
600
47/ 4
-n ..
0
m
f �1
5 7 70 _
0
, o• '���� Commonwealth of Official Use Only
1(i'iPMassachusetts Permit No. BLDE-20-001367
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/07]
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:9/11/2019
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) 597 FOREST RD
Owner or Tenant TOWN OF YARMOUTH Telephone No.
Owner's Address CENTRAL DUMP, 1146 ROUTE 28, SOUTH YARMOUTH, MA 02664-4463
Is this permit in conjunction with a building permit? Yes 0 No 0 (Check Appropriate Box)
Purpose of Building Utility Authorization No. -.5(o 0 e t Q
Existing Service 200 Amps Volts Overhead El Undgrd 0 No.of Meters
New Service 200 Amps Volts Overhead 0 Undgrd RI No.of Meters
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Relocate 0/H service to U/G.
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 Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grnd. Battery 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
Initiatine 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/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ 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 Siens 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: JOHN H BREWER
Licensee: John H Brewer Signature LIC.NO.: 14092
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:205 CEDAR ST,W BARNSTABLE MA 026681324 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) 0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE: $0.00
C--(1.i5Nifg 'k CO W1 i 9/t /l9 W
L 0� ) t1igl9 l-
Official Use Onl
Commonwealth of Massachusetts �� `�
Permit No.
rl' Department of Fire Services
` f�� :5 Occupancyand Fee Checked -
_ BOARD OF FIRE PREVENTION REGULATIONS [Kev. 1/Uj (leave blank)
APPLICATION FOR PERMIT TO PERFO "M ELECTRICAL We,RK
All work to be performed in accordance with the Massachusetts Electrical Code)52 / 12.00
(PLEASE PRIIVTIN INK OR TYPE ALLIIVFORM4TIOJ'O Date: /
City or Town of: y, L 17®0 j/v To the Inspector of Wires:
By this application the undersigned gi es nofic of his or er intention to perform the electrical work described below.
Location(Street&Number): ..- d (a 4�5—L, 1 2
Owner or Tenant �' (///I/ C:-/ -.s-- ‘ , �r�c7,1)7 Telephone No.
Owner's Address
Is this permit in c 'on with a building permit? Yes II No (Check Appropriate Box)
Purpose of Building conjun
,V ? 6. -c Util Authorization No.
Existing Service Ps
o?c7tn 71::›1C)7olts Overhead Undgrd D No.of Meters / ,
New Service c.4 Amps,/v�J oils /Oveerrhead 0 Undgrd No.of Meters /
Number of Feeders and Ampacity 3 C7 �7 4
Lo "on and Nature„ of Proposed Elect �� l G — /--c..
d C C �"c�CJ, ' �Y� C/ `mil
Completion of the following table may be waived by the bzspector of Wits
`o.or Total.
No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
above in- Nb.of Emergency Ligariag
No.of Luminaires Swimming Pool grad. ❑ grad. II Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS 4No.of Zones
No.o Detection an(
No.of Switches No.of Gas Burners Initiating Devices
Total
No.of Ranges No.of Air Cond. Tons No.of Alerting Devices
- Heat Pump Num{-cr Tons N -o!$dr-€oetsiaeil
No.of Waste Disposers Totals: �k"w ` o.
Detection/Alerting Devices
Mniau
No.of Dishwashers Space/Area Heating KW Local"Connection II Other
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
Tdecommunications'Wiring:
No.Hydromassage Bathtubs No.of Motors Total HP No.of Devices or Equivalent
OTH ER:
Attach additional detail tf desired.or as required by the Inspector of Wires_
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to Start: 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 0 OTHER ❑ (Specify:)
I certify,under the pains and penalties of perJuiy,t tat the inform atiff' �4' th i s is app/iicallo is true and complete
1�W tv'
FIRM NAME:John Brewer Electric #17 ' .o1 O• 7i1 LIC.NO.:E21949
Licensee: , . / 1`j)9- Signature 4 x.,;.r- ---._. LIC.NO.:A34492
(If appiicablc enter exempt"in the license number line.) :-- Bus.Tel.No.:
Address: 73 Mi 1./i C t ✓ J)1 1." •-' t72j44-5 Q2 WcA Alt.TeL No.:50s 367-0167
Per M.G.L. c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No.
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) Ener 9 owner's agent.
Owner/Agent PERMIT FEE:j<
Signature Telephone No.
I .V I . I.//VC LII t yy
ervice Address: City: Page Number: Auth.No. Work Order Number:
600 FOREST RD YAR (72) 1 of 1 Pages 2360810
ustomer's Name/Title: Prepared by: Date
YARMOUTH, TOWN OF STEVEN GONZALES 10/7/19
ales Representative: TEXT Circuit Number 4-92A-92
REMOVE 200A OH SVC
lectrician: HAYDEN, LAURA 508-398-2231 TO BUILDING TLM: 70256
948-250
witch Size: Secondary Sheet Number:
N
WHO E N
s 47/75-A
O
600
47/76
• /75
I Yarmouth Dump
EVERSOURCE TO: .......
REMOVE 200A OH SVC TO BUILDING
47/75A- REM 85'#3/0 ALCA QUADRUPLEX '
47/75A-CONNECT OH-UG SVC UP THE POLE
d
600
47/74
rf:°
T
rn �_.
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