HomeMy WebLinkAboutBLDE-23-19952 12/4/23,2:30 PM about:blank
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Commonwealth of Massachusetts � _ ,,'
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Town of Yarmouth
ELECTRICAL PERMIT
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Job Address: 22 LAKELAND AVE Unit:
Owner Name: MALONE SEAN P TR MALONE 2023 INVESTMENT TRUST
Owner's Address: 25A ORCHARD ST Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19952
Existing Service Amps L Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: one old work receptacle outlet for gas fireplace blower
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:
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:
No.Air Conditioners: 0 Total Tons: 0 Telecom System ❑ No.of Outlets:
No.Energy Storage Systems: 0 KWH Storage Rating: 0 Security System ❑ No.of Devices:
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:
Estimated Value of Electrical Work: $401 Work to Start: December 6, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: KEVIN A CRONIN License Number: 24178
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: S Yarmouth, MA, 02664 S Yarmouth MA 02664 Fee Paid: $50.00
Email: kacelectrician@outlook.com Business Telephone: 781-812-5579
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:
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