HomeMy WebLinkAboutBLDE-23-19372 8/21/23,7:02 AM about:blank
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Town of Yarmouth a :o� �, °`
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ELECTRICAL PERMIT pk -
Job Address: 168 CAPT NICKERSON RD Unit:
Owner Name: DOUG JARDINE
Owner's Address: 168 CAPT NICKERSON RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.: 14226447
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19372
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead El Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: EMERGENCY BASED REPAIR OF TOP AND BOTTOM END OF SERVICE
AND METER SOCKET
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA:
Space Heating KW: Heating Equipment KW: No. Motors: Total HP: Total KW:
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices:
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: August 21, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: KEITH H BC)UCHER License Number: 38959
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Wayland, MA, 01778 Wayland MA 01778 Fee Paid: $50.00
Email: KEITHBOUCHERELEC@GMAIL.COM Business Telephone: 508-971-4257
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.
INSURANCE:
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