HomeMy WebLinkAboutBLDE-24-473 3/26/24,3:43 PM about:blank
zzti Commonwealth of Massachusetts of .y
ri Town of Yarmouth
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ELECTRICAL PERMIT
Job Address: 19 COLUMBUS AVE Unit:
Owner Name: EDMUNDS JUDITH TR
Owner's Address: 19 COLUMBUS AVE Phone: Email:
Purpose of
Building Residential Utility Authorization No 6810543
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-2 473
Existing Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
New Service Amps/Volts Overhead El Underground❑ No. of Meters: 5 �.
Description of Proposed Electrical Installation: Install temp service fAteatial
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.El Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System El No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System 0 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: $ 1,000 Work to Start: March 29, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: BRENDAN P OROURKE License Number: 16153
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: PAXTON, MA, 016121226 PAXTON MA 016121226 Fee Paid: $50.00
Email: o39rourkeb@yahoo.com Business Telephone: 7742424192
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:
Cle --CL 4 ( 64 V -
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