BLDE-23-19508 9/18/23,2:22 PM
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Commonwealth of Massachusetts oF,,,
* Town of Yarmouth
ELECTRICAL PERMIT : _ 4'11'.., , ,iii-%
0 IN I
Job Address: 473 STATION AVE Unit:
Owner Name: SANDY ISLAND LLC ^ ��
Owner's Address: 159 CAMBRIDGE ST Phone: U ""-
Purpose of hone: Email:
Building Commercial
Utility Authorization No.: 1457457
Is this permit in conjunction with a building
permit? Yes Permit Number: BLDE-23-19508
Existing Service Amps/Volts Overhead 0 Underground 0
New Service Amps/Volts gNo.of Meters:
Description of Proposed Electrical Installation: Install 100 amp ead temporary service Underground❑ No.of Meters:
No.of Receptacle Outlets: 4 No.of Switches:
Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires:
No.Wind Generators: Wind KW Rating:
No.Appliances: 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❑ No.of Devices:
Swimming Pool: In-Grnd.0 Above-Grnd.0 Hot Tub❑
No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System ❑
No.Air Conditioners: Total Tons: y No.of Devices:
Telecom System 0 No.of Outlets:
No.Energy Storage Systems: KWH Storage Rating: Security System 0
Solar PV KW DC Ratin No.of Devices:
9: Solar PV KW AC Rating: No.of Electric Vehicle Supply E ui ment:
No.of Modules: Roof-Mount 0 Ground-Mount 0 pp p
Level 1 CI 2 0 Level 3 q 3❑ Rating:
Estimated Value of Electrical Work: $2,500
FIRM NAME: Work to Start: September 20, 2023
Master/System and/or Journeyman Licensee: MICHAEL P MURZYCKI Li enseeNum err 15936
Security System Business requires a Division of Occupational Licensure
"S" LIC.
License Number:
Address: BELLINGHAM, MA, 020191665 BELLINGHAM MA 020191665 Fee Paid: $80.00
Email: pm@advance-electrical.com Business Telephone: 401-641-0008
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: Beacon Mutual
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