HomeMy WebLinkAboutBLDE-23-19336 8/15/23,6:22 AM about:blank
Commonwealth of Massachusetts " 2
r, Town of Yarmouth ,'
ELECTRICAL PERMIT � A � � '
Job Address: 161 ROUTE 6A UNIT CA Unit:
Owner Name: POIRIER MICHELLE A CHWASTIAK RICHARD K
Owner's Address: 161 ROUTE 6A UNIT A Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19336
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: third floor bathroom remodel
No.of Receptacle Outlets: 2 No.of Switches: 2 Generator KW Rating: Type:
No.Luminaires: 0 No.of Recessed Luminaires: 3 No.Wind Generators: Wind KW Rating:
No.Appliances: 0 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 El No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No. Gas Burners: Video System ❑ No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.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: $2,500 Work to Start: August 15, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: SIMON BABA License Number: 22714
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: CENTERVILLE, MA, 02632 CENTERVILLE MA 02632 Fee Paid: $100.00
Email: theneighborhoodelectricianlIc@gmail.com Business Telephone: 774-994-0255
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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