HomeMy WebLinkAboutBLDE-23-19552 9/25/23,5:54 AM
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Commonwealth of Massachusetts ov - y..�,�
* Town of Yarmouth vo,
ELECTRICAL PERMIT ?-
Job Address: 81 CAPT YORK RD
Unit:
Owner Name: LONG ROBERT A TR LONG SUSAN M TR
Owner's Address: 1 AUNT DORAHS LN Phone: 508-221-7638
Purpose of Email:
Building Residential
Is this permit in conjunction with a buildin Utility Authorization No.:
g permit? No Permit Number: BLDE-23-19552
Existing Service Amps/Volts
Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑
Description of Proposed Electrical Installation: one old work receptacle outlet for gas fireplace blowetr of Meters:
No.of Receptacle Outlets: 1 No.of Switches: 0
Generator KW Rating: 0 Type: 0
No.Luminaires: 0 No.of Recessed Luminaires: 0
No.Wind Generators: 0 Wind KW Rating: 0
No.Appliances: 0 KW: 0 No.Water Heaters: 0 KW: 0
No.Transformers: 0 Total KVA: 0
Space Heating KW: 0 Heating Equipment KW: 0
No.Motors: 0 Total HP: 0 Total KW: 0
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 ❑
Solar PV KW DC Rating: 0 No.of Devices: 0
Solar PV KW AC Rating: 0 No.of Electric Vehicle Supply Equipment: 0
No.of Modules: Roof-Mount❑ Ground-Mount❑
Level 1 ❑ Level 2❑ Level 3❑ Rating: 0
Estimated Value of Electrical Work: $400
FIRM NAME: Work to Start: September 27, 2023
Master/System and/or Journeyman Licensee: KEVIN A CRONIN License Number: N/A
License Number: 24178
Security System Business requires a Division of Occupational Licensure"S" LIC.
Address: S Yarmouth, MA, 02664 S Yarmouth MA 02664 FeePa Number:
F e
Email: kacelectrician@outlook.com e Paid: $50.00
Business Telone:
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of eleecttrical work may i su-812-557e 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:
W. & ( e(s2--5 k...,,cf_.-_
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