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Commonwealth of Massachusetts of • VAS
* d Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 34 CAPT SIMMONS RD Unit:
Owner Name: ESTERBROOK CHRISTINE ESTERBROOK JAMES B
Owner's Address: 34 CAPT SIMMONS RD Phone: 5082025350 Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-1
Existing Service Amps 100/120,240 Volts Overhead El Underground ❑ No. of Meters: 1
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Garage conversion to living space
No.of Receptacle Outlets: 10 No.of Switches: 6 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: 15 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: $ 8,000 Work to Start: January 2, 2024
FIRM NAME: A-1 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: $75.00
Email: pdrenterprisesinc@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:
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