HomeMy WebLinkAboutBLDE-23-19269 7/31/23,6:40 AM about:blank
Commonwealth of Massachusetts o yA -,a
* Town of Yarmouth z °`
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ELECT
RICAL PERMIT " -
Job Address: 22 LAKEFIELD RD Unit:
Owner Name: SANTOS ROGERIO E SANTOS KATIE
Owner's Address: 22 LAKEFIELD RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19269
Existing Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead El Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wire boiler
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: $800 Work to Start: August 1, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DANIEL J PECKHAM License Number: 26830
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Marstons Mills, MA, 026485292 Marstons Mills MA 026485292 Fee Paid: $50.00
Email: djp3305@comcast.net Business Telephone: 7745216467
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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