HomeMy WebLinkAboutBLDE-23-19752 10/30/23,8:58 AM
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r�\ Commonwealth of Massachusetts : ,
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Town of Yarmouth #„ ``
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ELECTRICAL PERMIT ,-"-
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Job Address: 26 COUNTRY CLUB DR
Owner Name: TATA ELAINE R Unit:
Owner's Address: 26 COUNTRY CLUB DR
Purpose of Phone: 860-214-0431 Email:
Building Residential
Is this permit in conjunction with a building permit? No Utility Authorization No.:
Existing Service Amps/Volts Permit Number: BLDE-23-19752
Overhead 0 Underground 0 No. of Meters:
New Service Amps/Volts Overhead 0 Underground 0 Description of Proposed Electrical Installation: one old work receptacle outlet for gas fireplace blower 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.Appliances: 0 KW: 0 No.Wind Generators: 0 Wind KW Rating: 0
No.Water Heaters: 0 KW: 0 No.Transformers: 0
Space Heating KW: 0 Heating Equipment KW: 0 , Total KVA: 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.0 Above-Grnd.0 Hot Tub[J
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 0 No.of Outlets: 0
No. Energy Storage Systems: 0 KWH Storage Rating: 0 Security System 0
Solar PV KW DC Rating: 0 Solar PV KW AC Rating: 0 No.of Devices: 0
No.of Modules: 0 Roof-Mount 0 Ground-Mount[_ Level Elec Level 2i Sup l 3 0 Rment: 0
10 0 Level 3❑ Rating: 0
Estimated Value of Electrical Work: $400
FIRM NAME: Work to Start: November 2, 2023
Master/System and/or Journeyman Licensee: KEVIN A CRONIN License Number:
Security System Business requires a Division of Occupational Licensure License Number: 11275
"S" LIC.
Address: S Yarmouth, MA, 02664 S Yarmouth MA 02664 License Number:
Email: ectrici@outlook.com
Fee Paid: $50.00
Business
ne:
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of lecttri cal workkl a-812-55 y 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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