HomeMy WebLinkAboutBLDE-24-200 2/9/24,6:16AM about:blank
Commonwealth of Massachusetts Y'�q� ,
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Town of Yarmouth
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ELECTRICAL PERMIT ` ,ti p
Job Address: 53 CROMWELL DR Unit:
Owner Name: PAULSON JOHN
Owner's Address: 53 Cromwell Phone: 2039159857 Email:jbpaulson@att.net
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-200
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: residential home*emergency underground feeder repalcement only
No.of Receptacle Outlets: 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.❑ 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: $ 10,000 Work to Start: February 10, 2024
FIRM NAME: A-1 License Number:
Master/System and/or Journeyman Licensee: JASON MIENSCOW License Number: 22630
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: cumberland, ri, 02864 cumberland ri 02864 Fee Paid: $50.00
Email: electrical@cottijohnson.com Business Telephone: 5082123011
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: The Hilb Group New England LLC
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