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HomeMy WebLinkAboutBLDE-23-19691 10/27/23,5:50 AM about:blank Commonwealth of Massachusetts .©v•Y �,.,a. * Town of Yarmouth O 66 ELECTRICAL PERMIT ' ' . Job Address: 75 MASSACHUSETTS AVE Unit: ,/;. ( .. 7 Owner Name: MG1ET-FLT;7C;FRAi ty Q L 1 Owner's Address: 3 Phone: Purpose of Email: Building Commercial Is this permit in conjunction with a building permit? No Utility Authorization No. 4859544 Existing Service Amps/Volts Permit Number: BLDE-23 9691 Overhead ❑ Underground❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground ElDescription of Proposed Electrical Installation: Installation of AT&T small cell system on utility pole.o 1/0 of Meters: vti-ea� _�3 3 Generator of Receptacle Outlets: No.of Switches: 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.Air Conditioners: Total Tons: y No.of Devices: Telecom System ❑ No.of Outlets: No.Energy Storage Systems: KWH Storage Rating: Security System ❑ Solar PV KW DC Ratin No.of Devices: 9: Solar PV KW AC Rating: No.of Electric Vehicle SupplyE ui ment: No.of Modules: Roof-Mount❑ Ground-Mount❑ ❑ q p Level 1 0Level 2 Level 3❑ Rating: Estimated Value of Electrical Work: $3,500 FIRM NAME: Work to Start: October 16, 2023 Master/System and/or Journeyman Licensee: COLIN . SIKORA A-1 License Number: 8597 Al Security System Business requires a Division of Occupational Licensure License Number: 22923 "S" LIC. Address: DARTMOUTH, MA, 02748 DARTMOUTH MA 02748 FicePa Number: Email: M mt sk lincelectric.com Fee Paid: $80.00 g @ y 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 9(-&131' (-C_L ro il,-- '1-1-)ra-L-- XM frg--sf,:,U1,Fr-{eN7- ( 4( (2-3 eZ cp (c...:. (7(4) 1.\, t, t-c, , c7-e..),a) (Ai/A-tIn 1,4.1 t(3t( l -7 7 L(-3O9-d 75'7 about:blank 1/1