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� ../ Comma(wealth of Massachusetts Permit No.
I, °'"` PO Depal lment of Fire Services
't1111----7.9 Occupancy and Fee C -
y"'•..Z. FIR BOARD OF FI PREVENTION REGULATIONS [Rev. 11/99] (leave b t�
APPLICATION F4':�9R PERMIT TO PERFORM ELECTRIC.If} K
All work to be perfoi med in accordance with the Massachusetts Electrical Code(MEC),527 CMR 1 7''''
(PLEASE PRINT IN INK OR 71 PE ALL INFORMATION) Date: 8/9/06
City or Town of Y. �►RVIOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described belo
Location(Street&Number) 27 i'ELVERTON ROAD,WEST YARMOUTH
Owner or Tenant ENRIGH11 CONSTRUCTION COMPANY Telephone No. 508-775-3593
Owner's Address PO BOX 1093 SOUTH YARMOUTH,MA 02664
Is this permit in conjunction with a b uillding permit? Yes No (Check Appropriate Box)
Purpose of Building Utility Authorization No.
Existing Service Amps Volts Overhead Undgrd l; No.of Meters
New Service Amps Volts Overhead Undgrd No.of Meters
n
Number of Feeders and Ampacity
Location and Nature of Proposed Elul trical Work WIRE SEPTIC PUMP AND ALARM
V 4 Comp Won of the following table may be waived by the Inspector of Wires.
\1 No.of Recessed Fixtures No.of Ceil.-Susp.(Paddle)Fans No. of Total 1
Transformers KVA I
No.of Lighting Outlets No.of Hot Tubs Generators KVA 1-N
0 No.of Lighting Fixtures Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting �-
grnd. grnd. Battery Units
.....7... No.of Receptacle Outlets No.of Oil Burners (FIRE ALARMS No.of Zones
bo
No.of Switches No.of Gas Burners No.of Detection and I v-,
Initiating Devices
No.of Ranges Total
r~ g No.of Air Cond. t
Tons Vo.of Alerting Devices
�.�► No.of Waste Disposers Heat Pump Number Tons I KW �INo. of Self-Contained ILL
V Totals: ',Detection/Alerting Devices C
0 No.of Dishwashers Space/Area Heating KW Local El Municipal 117-Connection ❑ Other �
No.of Dryers Heating Appliances KW Security Systems:
No.of Devices or Equivalent
No.of Water No.of
Heaters KW Data Wiring:
Signs No.of Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
_ No.of Devices or Equivalent 1?,..
OTHER: tt
Attach c i'ditional detail if desired, or as required by the Inspector of Wires. f
"r INSURANCE COVERAGE: Unless wit ived by the owner,no permit for the performance of electrical work may issue unless the licensee
,provides proof of liability insurance inclua ling"completed operation"coverage or its substantial equivalent. The undersigned certifies that
such coverage is in force,and has exhibitc::l proof of same to the permit issuing office.
G
ceCHECK ONE: INSURANCE X BON;) 0 OTHER 0 (Specify:) GENERAL ACCIDENT INS. 8/1/06
.Estimated Value of Electrical Work: (When required by municipal policy.) (Expiration Date)
Work to Start / Insa'ections to be requested in accordance with MEC Rule 10,and upon completion.
I certify, under the pain d penalties of perjury,that the information on this application is true and complete.
.....
FIRM NAME: REILLY ELECTRIC/V. ,CONTRACTORS,INC /RELCO LIC.NO.: A 16666
W Licensee: JAMES J.REILLY Signature LIC.NO.:A 16666
v k (If applicable, enter "exempt"in the licen,!! number line.) Bus.Tel.No.: 508-77I-2040
Address: 110 OLD TOWNHOUSE RD,t OUTH YARMOUTH,MA 02664 Alt.Tel.No.: 508-394-
OWNER'S INSURANCE WAIVER: I ai m aware that the Licensee does not have the liability insurance coverage normally required by
law. By my signature below,I hereby wai'a this requirement. I am the(check one)0 owner 0 owner's agent.FAX-508-760-1425
Owner/Agent
Signature Telephone No. - PERMIT FEE:35.00
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