HomeMy WebLinkAboutBLDE-24-289 2/23/24, 5:45 AM about:blank
Commonwealth of Massachusetts oF • YA4
*y Town of Yarmouth m. 4 �`
ELECTRICAL PERMIT y
Job Address: 19 WILDFLOWER VILLAGE Unit:
Owner Name: HANSEN GLENN
Owner's Address: 4415 BACK NINE DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-289
Existing Service Amps /Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: rewire for moved doorway in master bed, replace electrical panel
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: $ 5,000 Work to Start: February 22, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSHUA B DEJOIE License Number: 53490
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: South Yarmouth, MA, 026642815 South Yarmouth MA 026642815 Fee Paid: $75.00
Email:joshuadejoieelectrician@gmail.com Business Telephone: 7749940483
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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