HomeMy WebLinkAboutBLDE-23-19821 11/13/23,5:34 AM rS about:blank
Commonwealth of Massachusetts o~*
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Town of Yarmouth ,.! �.
ELECTRICAL PERMIT ,pq
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Job Address: 258 HIGHBANK RD Unit:
Owner Name: MERITUS JEAN E MERITUS MARIE VERLINE
Owner's Address: 258 HIGHBANK RD Phone: 5087769126 Email:jmeritus@verizon.net
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19821
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Service Upgrade from 150Amps to 200 Amps
No.of Receptacle Outlets: 0 No.of Switches: 0 Generator KW Rating: 0 Type:
No.Luminaires: 0 No.of Recessed Luminaires: 0 No.Wind Generators: 0 Wind KW Rating:
No.Appliances: 0 KW: 0 No.Water Heaters: 0 KW: 0 No.Transformers: 0 Total KVA:
Space Heating KW: Heating Equipment KW: 0 No.Motors: 0 Total HP: 0 Total KW:
No. Heat Pumps: 0 Total KW: 0 Total Tons: 0 Fire Alarm System❑ No.of Devices: 0
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 0
No. Oil Burners: 0 No. Gas Burners: 0 Video System ❑ No.of Devices: 0
No.Air Conditioners: 0 Total Tons: 0 Telecom System ❑ No.of Outlets: 0
No. Energy Storage Systems: 0 KWH Storage Rating: 0 Security System ❑ No.of Devices: 0
Solar PV KW DC Rating: 0 Solar PV KW AC Rating: 0 No.of Electric Vehicle Supply Equipment: 0
No.of Modules: 0 Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating: 0
Estimated Value of Electrical Work: $ 3,000 Work to Start: November 14, 2023
FIRM NAME: A-1 License Number:
Master/System and/or Journeyman Licensee: GENE SOKOLOVSKIY License Number: 22317
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WATERTOWN, MA, 024724344 WATERTOWN MA 024724344 Fee Paid: $50.00
Email: utility-@fbis360.com Business Telephone: 617-500-7060
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: Evanston Insurance Company
CA 11((8-7V(fl '
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