HomeMy WebLinkAboutBLDE-23-19781 11/2/23,2:55 PM about:blank
Commonwealth of Massachusetts g y�
* Town of Yarmouth o
* ,
O H
ELECTRICAL PERMIT Afe,, . R ,f
Job Address: 2 ADAMS RD Unit:
Owner Name: MCEWEN WILLIAM J MCEWEN SUSAN D
Owner's Address: 2 ADAMS ROAD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19781
Existing Service Amps I Volts Overhead O Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Installation of electric car charger
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.❑ 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 0 Level 2❑ Level 3❑ Rating: 7,200
Estimated Value of Electrical Work: $ 1,000 Work to Start: November 1, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: GARY L GORDON License Number: 36611
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: DENNIS, MA, 026382234 DENNIS MA 026382234 Fee Paid: $50.00
Email: gordonsonselectricinc@yahoo.com Business Telephone: 5082806294
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: Hartford Fire insurance
&='. - C I 4 C &rya 0 if' C N u s44) Ci 2_ i
e_s4CtJ
(72G4L-€ C7/1 g (f. E-i)cat ricer .fr- e-4
about:blank