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BLDE-23-20006
12/12/23, 1:41 PM about:blank Commonwealth of Massachusetts ©F • Yq * b �4� Town of Yarmouth ELECTRICAL PERMIT Job Address: 96 FREEBOARD LN Unit: Owner Name: ROBBERSON KAY D Owner's Address: 96 FREEBOARD LN Phone: Purpose of Email: Building Residential Is this permit in conjunction with a buildin Utility Authorization No.: g permit. No Permit Number: BLDE-23-20006 Existing Service Amps/Volts Overhead❑ Underground 0 No. of Meters: New Service Amps/Volts Overhead Description of Proposed Electrical Installation: Repair damage t❑o electrical service Underground underground No. of Meters: 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.0 Above-Grnd.❑ Hot Tub 0 No.of Self-Contained Detection/Alerting Devices: No. Oil Burners: No. Gas Burners: Video System 0 yNo.of Devices: No.Air Conditioners: Total Tons: Telecom System 0 No. Energy Storage Systems: KWH Storage Rating: Security System 0 No.of Devices: of Dev cOutlets: ices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount 0 Ground-Mount 0 Level 1 0 Level 2❑ Level 3 0 Rating: Estimated Value of Electrical Work: $ 1,500 FIRM NAME: Work to Start: December 8, 2023 Master/System and/or Journeyman Licensee: ROBERT M SCENA A-1 License Number: Control New England Security System Business requires a Division of Occupational Licensure License Number: 40461 "S" LIC. Address: bourne, MA, 02532 bourne MA 02532 License Number: Fee Paid: $50.00 Email: Bobscena@yahoo.com Business Telephone: 57 INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical wor0884745may 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: Hartford insurance (E_:-1")/4(ng 7-6 q, Jwv„:_it 0",,, ,,,, „,c_ Ns...0 (..,-,,,, , 4,_____ ,,,ie about:blank 1/1