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BLDE-24-67
1/16/24,6:14 AM about:blank L\ \(17\'' Commonwealth of Massachusetts pF yA Town of Yarmouth ELECTRICAL PERMIT Job Address: 49 MONOMOY RD Unit: Owner Name: MORTON CYNTHIA WALPOLE Owner's Address: 49 MONOMOY RD Phone: 508-380-0587 Email: Purpose of Building Residential Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-67 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: new small appliance branch circuit No.of Receptacle Outlets: 1 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: $ 500 Work to Start: January 17, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: DAVID J SHAUGHNESSY License Number: 13476 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: NATICK, MA, 017601642 NATICK MA 017601642 Fee Paid: $50.00 Email: PDREnterpriseslnc©gmail.com Business Telephone: 508-259-4973 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: ( (T41 eg • about:blank 1/1