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� , Commonwealth of Massachusetts o y44
*., Town of Yarmouth �,rr�� o
I174
- ELECTRICAL PERMIT M , - H :.
Job Address: 2 SMITH RD Unit:
Owner Name: ARGO EWA TR SEACRET REALTY TRUST
Owner's Address: 23 DREAM LAKE DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19811
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead O Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: basement addition
No.of Receptacle Outlets: 25 No.of Switches: 7 Generator KW Rating: Type:
No. Luminaires: 8 No.of Recessed Luminaires: 210 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.❑ 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: $4,000 Work to Start: November 1, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: BRIAN S MCCULLOCH License Number: 10089
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST BRIDGEWATER, MA, 02379 WEST BRIDGEWATER MA
02379 Fee Paid: $75.00
Email: bri0766@yahoo.com Business Telephone: 5086859396
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: Zin g A/e.c--
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