HomeMy WebLinkAboutBLDE-24-73 1/17/24,5:34AM • / about:blank
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�`N. Commonwealth of Massachusetts
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* �� Town of Yarmouth
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ELECTRICAL PERMIT ._., .i,,4--;
Job Address: 18 WILDFLOWER VILLAGE Unit:
Owner Name: REGAN MARGARET A
Owner's Address: 18 WILDFLOWER VILLAGE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-73
Existing Service Amps/Volts Overhead E Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: wiring of finished room in basement
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 El Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 3,000 Work to Start: January 16, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: THOMAS S KIMBALL License Number: 31130
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: ROCHESTER, MA, 027704119 ROCHESTER MA 027704119 Fee Paid: $75.00
Email: Kimballssat@comcast.net Business Telephone: 5087890032
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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