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BLDE-24-151
1/31/24,5:53AM about:blank Commonwealth of Massachusetts ©F - y.4� * Town of Yarmouth O e� <, y ELECTRICAL PERMIT ?�� : � Job Address: 134 ROUTE 6A Unit: Owner Name: GOLDEN JALAPENOS LLC Owner's Address: 134 ROUTE 6A Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-151 Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: Description of Proposed Electrical Installation: Wire new bar area 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: $ 8,000 Work to Start: January 30, 2024 FIRM NAME: A-1 License Number: 1 Master/System and/or Journeyman Licensee: MATTHEW DAMIAN KLINE License Number: 53620 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: Harwich, MA, 026451940 Harwich MA 026451940 Fee Paid: $100.00 Email: Mdk7178@yahoo.com Business Telephone: 508 685 7154 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: —.1b0 ,-Er q (214 4%� 9/2 / about:blank 1/1