HomeMy WebLinkAboutBLDE-21-003127 Commonwealth,o/Mamacituuth Official Use Only
cc��rrcc77 Permit No. (�l�— 3 Z_7
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Occupancy and Fee Checked
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: /J l a qlavao
City or Town of: yew KO u-'Vl 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) 55-- tc l-u lie `5 ?6,11,1
Owner or Tenant Jcmvk. awl) Sr) Alta414vt CI 6 Telephone No. 5-4-77a----)t 3,
Owner's Address
Is this permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Box)
Purpose of Building Re 'td d( / Utility Authorization -
Existing Service /vv Amps /Qo Q KO Volts Overhead ® Undgrd❑ 1 {
New Service Q//O Amps /oQo • / 4-Lf0 Volts Overhead® Undgrd ❑ No.of Meters j
Number of Feeders and Ampacity oZ — ac,e5
Location and Nature of Proposed Electrical Work: Wive c.(4,1) F[ ^ , ,.1,‹.t kt I L -1 _
da/e Sol&IGe5 — nrj✓zun.t 5 — Service C
Completion of the followin&table may be waived by the Inspector of Wires.
otal
No.of Recessed Luminaires /oZ No.of CeiL-Susp.(Paddle)Fans N . f T
TrNo.Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting
/b grnd. ❑ grnd. ❑ Battery Units
No.of Receptacle Outlets k,p No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches p No.of Gas Burners No. Initiatingof Deteon and
3 Devices
No.of Ranges No.of Air Cond. Total No.of AlertingDevices
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 ❑ Oth
Connection ef,
/
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water 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 ifdesired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: /. ,cvo (When required by municipal policy.)
Work to Start: I//07/40.>.c, 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 EU BOND ❑ OTHER ❑ (Specify:) 4(417,it 47
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: Z%-t-'41-yr 7
- yr7 Aril.? Elec c 4 LIC.NO.: 57
Licensee: 3i4u y�7 /�,--nc4� �j Signature LIC.NO.: .5—/ 6
(If applicable,enter"exZmpt"in the license amber line.) Bus.Tel.No.: -3(4
Address: ( `7 Iciw /2ucJ k14,J AA f 01-3 20 Alt.Tel.No.:
*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)❑owner ❑owner's agent.
Owner/Agent
Signature Telephone No. IT FEE. $
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Sears, Tim
From: Fallon, Rosa
Sent: Monday, December 21, 2020 9:36 AM
To: 'JEFF ARMSTRONG'
Cc: Sears, Tim; Inkley, Brad
Subject: RE: imagejpeg_0 jpg
From:JEFF ARMSTRONG [mailto:jeffarmstrongelectric@Iive.com]
Sent:Sunday, December 20, 2020 12:19 PM
To: Fallon, Rosa<rfallon@yarmouth.ma.us>
Subject: imagejpeg_0.jpg
Attention! EMS emailoriginates'outside of the organization Do na open attachments orrcl c i a 'iii le�you
are'sure this email'is from a'known sender and you know the content is safe.Ca11 the sender to verify i unsu e.
Otherwise delete this email
Attention assistant wire inspector
55 Michelle's path
This is a photo he was looking for
Thank you
Jeff
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