HomeMy WebLinkAboutBLDE-23-19651 10/10/23, 1:24 PM about:blank
9., Commonwealth of Massachusetts zogY`l ''
* o Town of Yarmouth
ELECTRICAL PERMIT `, , g'n
Job Address: 210 STATION AVE Unit:
Owner Name: DENNIS YARMOUTH REGIONAL SCHOOL
Owner's Address: 296 STATION AVENUE Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19651
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground D No. of Meters:
Description of Proposed Electrical Installation: Repair faulter secondary lateral neutral at base of ustiolity pole.
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: October 10, 2023
FIRM NAME: A-1 License Number: 556=A
Master/System and/or Journeyman Licensee: MICHAEL O'NEIL License Number: 23465
Security System Business requires a Division of Occupational Licensure
"S" LIC.
License Number:
Address: ATTLEBORO, MA, 02703 ATTLEBORO MA 02703 Fee Paid: $80.00
Email: sventura@gorelco.com Business Telephone: 508-619-9029
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: Federated Service Insurance Company
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