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BLDE-23-19692
10/27/23,5:43 AM about:blank A Commonwealth of Massachusetts .ti© Y.-44. - Town of Yarmouth 6 r: ,Ca { ELECTRICAL PERMIT °` `‘. hq Job Address: 11 GROVE ST Unit: A-17-- ef 7---- Owner Name: QU' P �" ^ ++ ,=er �u, C-Iatiir l Owner's Address: 14 GRCrEt r Phone: Purpose of Email: Building Commercial Utility Authorization No.: 4858887 Is this permit in conjunction with a building permit? No Existing Service Amps/VoltsPermit Number: BLDE-23-19692 p Overhead 0 Underground❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No. of Meters: ^ Description of Proposed Electrical Installation: Installation of AT&T small cell on utility pole#19 'N 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: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices: No. Oil Burners: No.Gas Burners: Video System Y No.of Devices: No.Air Conditioners: Total Tons: Telecom System ❑ Y No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: SecuritySystem El YNo.of Devices: Solar PV KW DC Rating: Solar PV KW AC Rating: No.of Electric Vehicle Supply Equipment: No.of Modules: Roof-Mount El Ground-Mount❑ Level 1 ❑ Level 2 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 3,500 Work to Start: October 17, 2023 FIRM NAME: A-1 License Number: 8579 Al Master/System and/or Journeyman Licensee: COLIN . SIKORA License Number: 22923 Security System Business requires a Division of Occupational Licensure "S" LIC. Address: DARTMOUTH, MA, 02748 DARTMOUTH MA 02748 License Number: Fee Paid: $80.00.00 Email: MGMT@skylincelectric.corn Business Telephone: 5084150533 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: James River Insurance company giAtkf - LC- 'e.- COO 6.5-itp f-k..41 41 J2-3 eE ^, Pt lAif171 chU .900 I Tuzikm, EELvkitp c w333 6 b ( f ( ( about:blank 1/1