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Commonwealth of Massachusetts . YA���
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Town of Yarmouth -. lit 4,-
ELECTRICAL PERMIT ' { p
Job Address: 180 SOUTH ST Unit:
Owner Name: KAMBORIAN LISBETH N
Owner's Address: 180 180 SOUTH ST Phone: 781-883-3133 Email: Ink@lawlnk.com
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19297
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Renewing expired permit
G16(- ls3? (ce- 13-zGos)
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 0 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 0 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 0 Level 1 0 Level 2 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $499 Work to Start: August 7, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: License Number:
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Fee Paid: $50.00
Email: Business Telephone:
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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Commonwealth of Official Use Only
ftt` 1`' Massachusetts Permit No. BLDE-19-001537
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
[Rev.1/07]
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:9/13/2018
City or Town of: YARMOUTH 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) 180 SOUTH ST
Owner or Tenant KAMBORIAN LISBETH N Telephone No.
Owner's Address 151 MASSACHUSETTS AVE,ARLINGTON, MA 02474
Is this permit in conjunction with a building permit? Yes 0 No ❑ (r?. Appropriate Box)
Purpose of Building Utility Authorization ' •
Existing Service Amps Volts Overhead 0 Undgr �e i eteters
New Service Amps Volts Overhead 0 Until ■
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: Remodel following water damage. i
Completion of the following table e Inspector of Wires.
No.of Recessed Luminaires No.of Ceil.-Susp.(Paddle)Fans No.of ic �A
Transformers
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grad. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total No.of Alerting Devices
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 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters A,iggs 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 if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: (When required by municipal policy.)
Work to start: Inspection to be requested irL 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 ❑ BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: DAVID W SPRINGER
Licensee: David W Springer Signature: LIC.NO.: 21170
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:70 Bishops Ter,Hyannis MA 026012106 Alt.Tel.No.:
*Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License:
OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But
signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$75.00
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Permit No.
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BOARD OF FIRE PREVENTION REGULATIONS [Rev.Occupa n
1/07]cy and Fee Checked(leave blank)
APPLICATION FORPERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code C),52 CMR 12.00
(PLEASE PRINT IN INK OR TYPE ALL INFORM4TION) Date: 1 3 ) \ 0
City or Town of: YARMOUTH 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) 186 Sc 01-1, 5} 5 /a Crwu
' Owner or Tenant ?j-eicSu� Telephone No.
`- Owner's Address J
N Is this permit in conjunction with a building permit? Yes No ❑ (Check Appropriate Box)
r !Purpose of Building d C1le,l\t n j Utility Authorization No.
w� w •Lmer
isting Service Amps / Volts Overhead ❑ Undgrd❑ No.of Meters
JJ��c--ram
i °\o i wSece Amps / Volts Overhead❑ Und rd
g ❑ No.of Meters
LI, of Feeders and Ampacity
LU ' Do cation and Nature of Prop sed Electrical Work: I va dcketOk L ,,- 66 I&h
W° J Campletion qf t e foolowingtable may be waived by the Inspector of Wirer.
3 W�" `� '1 ai No.of Recessed Luminaires No.of CeiL-Susp.(Paddle)Fans No.of Total
,— Transformers KVA
No.of Luminaire Outlets No.of Hot Tubs Generators KVA
No.of Luminaires SwimmingPool Above In- No.of Emergency Lighting
grnd. crud. Battery Units
No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
No.of Ranges No.of Air Cond. Total ,No.of Alerting Devices
• No.of Waste Disposers Heat Pump Number Tons 'KW No.of Self-Contain d
Totals: ,Detection/Alerting Devices
No.of Dishwashers Space/Area Heating KW Local❑ Monnunicipalection ID Other
C
No.of Dryers Heating Appliances , Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Data Wiring:
Heaters Signs Ballasts No.of Devices or Equivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications'44'inn :
No.of Devices or Equivalent
OTHER:
Attach additional detail if desired or as required by the Inspector of Wires.
Estimated Value o Elec 'cal Work: S,C , ... (When required by municipal policy.)
Work to Start: U Z. S 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 i surance including"completed operation"coverage or its substantial equivalent. The
undersigned certifies that such cove ge is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:)
I certify, under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: ,sec t nq 1,.e L'�'-1—C. 11 ` tirT LIC.NO.: a 1 170 A
Licensee: J,cJ Ci R Signature d•--,11 LIC.NO.: 3Z, ct
(If applicable,enter"es pt' :n the li rue number li ) _ Bus.Tel.No.: 'l O c- 5\
Address. 70 lL i d 4Cl'. q ilr,(\l S Alt.Tel.No.:
j *Per M.G.L. c. 147,s.57-61, ecurity work requires epartenent 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 a�ent,�
Owner/Agent f
Signature Telephone No. ! PERMIT FEE: $ f
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