HomeMy WebLinkAboutBLDE-23-19535 9/22/23,5:46 AM VIL\
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Commonwealth of Massachusetts ov -Y4��
4 Town of Yarmouth
ELECTRICAL PERMIT toccf,;\ ,i,,3
Job Address: 16 RUSSO RD Unit:
Owner Name: PICCOLO CLAIRE M C/O CLAIRE F LINNAN
Owner's Address: 16 RUSSO RD Phone: Email:
Purpose of
Building Residential
Is this permit in conjunction with a buildin Utility Authorization No.:
g permit. No Permit Number: BLDE-23-19535
Existing Service Amps/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. Bond the Yellow SST
gas piping to the ground grid
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: Total Tons: 0 Fire Alarm System❑ No.of Devices: 0
Swimming Pool: In-Grnd.El Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: 0
No.Oil Burners: 0 No.Gas Burners: 0 Video System 0
YNo.of Devices: 0
No.Air Conditioners: 0 Total Tons: 0 Telecom System ❑
Y No.of Outlets: 0
No.Energy Storage Systems: 0 KWH Storage Rating: 0 SecuritySystem ❑
Y 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 0 Level 1 0 Level 2❑ Level 3❑ Rating: 0
Estimated Value of Electrical Work: $475 Work to Start: September 22, 2023
FIRM NAME: License Number: N/A
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: N/A
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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