HomeMy WebLinkAboutBLDE-23-20068 12/21/23,6:00 PM about:blank
Commonwealth of Massachusetts o ' y��
* Town of Yarmouth
ELECTRICAL PERMIT Jx.
Job Address: 39 VINEBROOK RD Unit:
Owner Name: SWAN MARK E WILLIAMS CYNTHIA E
Owner's Address: 39 VINE BROOK RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-20068
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring Single Zone Mini Split And Heat Pump
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 ❑
Y No.of Devices:
No.Air Conditioners: Total Tons: Telecom System El
YNo.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: $ 600 Work to Start: December 22, 2023
FIRM NAME: A-1 License Number:
Master/System and/or Journeyman Licensee: JON MOREAU License Number: 22967
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Plymouth, MA, 023607829 Plymouth MA 023607829 Fee Paid: $50.00
Email: maya@coastalphc.com Business Telephone: 5083269699
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: The Hig Group Of New England
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