HomeMy WebLinkAboutBLDE-23-19743 10/27/23,5:49AM
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�W�, Commonwealth of Massachusetts �. g . y
�° Town of Yarmouth a _
ELECTRICAL PERMIT • ` y
Job Address: 239 PLEASANT ST
Owner Name: CHURCHILL FREDERIC E CHURCHILL D
Owner's Address: 243 PLEASANT ST
Purpose of Phone: Email:
Building Residential
Is this permit in conjunction with a building permit? No Utility Authorization No.:
Existing Service Amps/Volts Permit Number:BLDE-23-19743
New Service Overhead ❑ Underground❑
Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: TEMPORARY SERVICE No. of Meters: �'/
No.of Receptacle Outlets: ��� � � �� L--��,t!, � G�1/ '��`���
No.of Switches: Generator KW Rating:
No.Luminaires: No.of Recessed Luminaires: Type:
No.Wind Generators: Wind KW Rating:
No.Appliances: KW:
No. Water Heaters: KW:
No.Transformers: Total K
Space Heating KW:
Heating Equipment KW: W:
No. Heat Pumps: Total KW: No.Motors: Total HP:
Total Tons: Total KW:
Fire Alarm System❑ No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd. El Hot Tub
No. Oil Burners: No.of Self-Contained Detection/Alerting Devices:
No. Gas Burners: Video System ❑
No.Air Conditioners: Total Tons: No.of Devices:
No. Energy Storage S stems: Telecom System ❑ No.of Outlets:
KWH
y Storage Rating:
Security System ❑ No.of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating:
No. of Modules: Roof-Mount❑ Ground-Mount❑ No.Level Electric Level 2icle Supply 3 0 Equipment:
1 ❑ ❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 900
FIRM NAME: — Work to Start: October 31 2023
Master/System and/or Journeyman Licensee: ANDREW M LEVESQUE License Number: 3994
Security System Business requires a Division of Occupational Licensure License Number: 17318
"S" LIC.
Address: HARWICH PORT, MA, 026461831 HARWICH PORT MA License Number:
0264 61831
Email: permits@hphclIc.com
Fee Paid: $50.00
Business Telephone: 5084323959
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work
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.
may issue unless the
INSURANCE: SELECTIVE INSURANCE
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