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BLDE-23-004973 ©1." Commonwealth of Offcial Use Only Massachusetts Permit No. BLDE-23-004973 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked JRev.1/07) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:3/10/2023 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives nonce of his or her attention to perform the electrical work described below. Location(Street&Number) 76 SOUTH SHORE DR Owner or Tenant JOYCE MARTIN J TRS Telephone No. Owner's Address JOYCE ELIZABETH TRS,135 ACADEMY AVE,WEYMOUTH,MA 02188-4203 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check�tppropriate Box) Purpose of Building Utility Authorization No. �Qll ei Existing Service Amps Volts Overhead 0 Undgrd V a[ell; New Service Amps Volts Overhead 0 Undgrd Off Ifls�ty{ Number of Feeders and Ampacity ^ ! Location and Nature of Proposed Electrical Work: Wiring of sun porch. /� Completion of the following tablem��' �)(vector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of3. Total Transformers ,0 KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tuns KW No.of Self-Contained Totals: Detection/Alerting Devices No.of Dishwashers Space/Area Heating KW Local 0 Municipal ❑ Other: Connection No.of Dryers Heating Appliances KW Security Systems:' No.of Devices or Euuivalent No.of Water KW No.of No.of Ballasts Data Wiring: Heaters Signs No.of Devices or Euuivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. 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. CHECK ONE:INSURANCE 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: MICHAEL YOUNG Licensee: MICHAEL YOUNG Signature LIC.NO.: 22314 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:156 CAPES TRL,WEST BARNSTABLE MA 02668 Alt.Tel.No.: °Per M.G.L.c.147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But my signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE:$75.00 lsv4.A d 1 117 1-2-3r C� p �v s c7�> - \ RECE. - ----1 f \N. MAR 09 2UZo„ ,o ea"'""o f Mamarh °� Official Use Only �..>it:�. ,�i �� s Permit No. _;*'�-j�� �C;t)t,'ART(�11G�*�ir, rtE o irs ervicae 7. • „I'► f, , L IRE PREVENTION REGULATIONS Occupancye . 1/0071and Fee Checked (leave blank) APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK MI work to be performed in accordance with the Massachusetts Electrical Code(MEC) 527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: sy3 City or Town of: YARMOUTH To the Inspe or Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. V Location(Street&Number) r7L,, Si)v �1 c , -_, Di', v z. Owner or Tenant �,l,-2 7-,,.0 _I of Urr Telephone No. 7 7/-7//_ �, Owner's Address /2ri4-Kr,, "(Ai,-e /J�'Ari't)t' k " ?(' L,c r m_c, Ill ,02 W. Is this permit in conjunction with a building permit? Yes pe ❑ No heck Aropriate Box) Purpose of Building Utility Authorization No. Existing Service '- Amps ,UL/ yv Volts Overhead Q�ndgrd❑ No.of Meters / O New Service Amps / Volts Overhead Undgrd El g El No.of Meters Number of Feeders and Ampacity Location and Nature of Proposed Electrical Work: /4_,ii_e f x r 5 T•N t- IL.,.✓ A,tc, Zi o, Completion of the followingtable may be waived by the Inspector of Wires. !1N No.of Recessed Luminaires No.of Cell.-Susp.(Paddle)Fans No.of Total A nrmers -Zt No.of Luminaire Outlets No.of Hot Tubs Generators KVA n No.of Luminaires • Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting �rnd. grad. Battery Units `j No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and c. Initiating Devices 11! No.of Ranges No.4Air Cond. Tons No.of Alerting Devices No.of Waste Disposers Totals: Pump Number Tons KW No.of Self-Contained Totals: "" Detection/Alertin Devices No.of Dishwashers Space/Area Heating KW Local❑ Monnectionunicipal ❑ other C No.of Dryers Heating Appliances KW Security f s:* DevicesNo or Equivalent 'No.of Water KW No.of No.of Data Wirin Heaters Signs Ballasts No.of Devices or Equivalent No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring: No.of Devices or Equivalent OTHER: Attach additional detail if desired,or as required by the Inspector of Wires. Estimated Value of Electrical Work: (When required by municipal policy.) Work to Start: Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 coverIgfrif in force,and has exhibited proof of same to the permit issuing office. CHECK ONE: INSURANCE BOND 0 OTHER 0 (Specify:) I certify,under the pains and pen lties of perjury,that the Information on this application is true and complete. FIRM NAME: 1 t'e..,�L,- C'.�, ii.;yZ /t]f it_,T . 1Z ' LIC.NO.: j%`/ /g" Licensee: /1,eh 4-L2 yp a-v4- Signature l e i LIC.NO.: ,779Q1 E (If applicable.enter"exempt"in the license number line,) Bus.Tel.No.. 7'7 Y-99 y- yp4, Address: 15 Lt (..,-,-pc: S. 7-Zh L. G�.vS i f54jh+STW Q ✓24 Alt.TeL No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.No. OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally required by law. By my signature below,I hereby waive this requirement. 1 am the(check one)0 owner [_]owner's agent. Owner/Agent Signature Telephone No. PERMIT FEE: $