HomeMy WebLinkAboutBLDE-23-19116 7/18/23,2:36 PM about:blank
, �, Commonwealth of Massachusetts '0 Y�_`�-
* Town of Yarmouth ,
ELECTRICAL PERMIT ,,`; „ '4
Job Address: 45 CARRIAGE LN Unit:
Owner Name: DEAN CHARLES A TRS DEAN SUSAN J TRS
Owner's Address: 45 CARRIAGE LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19116
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: install new w/p timmer with power switch before timer& wired in gas pool
heater( no gas line in yet)
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: ln-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: $ 600 Work to Start: July 14, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: HENRY LARKOWSKI License Number: 26990
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: DENNIS, MA, 026380267 DENNIS MA 026380267 Fee Paid: $50.00
Email: henryjl1946@gmail.com Business Telephone: 508 776 7744
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:
A02(2I A 4ccs C -r
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