BLDE-24-342 3/4/24,6:25 AM about:blank
Commonwealth of Massachusetts of • YA
* Town of Yarmouth �,,, - c
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ELECTRICAL PERMIT v,A
Job Address: 67 HOLLY LN Unit: 14,: 6 .(r...)'
Owner Name: CARR THOMAS E JR
Owner's Address: 22 CHADWICK RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-342
Existing Service Amps 100/Volts Overhead IS Underground ❑ No. of Meters: 1
New Service Amps/Volts Overhead 0 Underground 0 No. of Meters:
Description of Proposed Electrical Installation: rewiring of kitchen living room, indoor porch, basement lights and related wiring
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: $ 9,000 Work to Start: February 27, 2024
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RAY W BOMBARDIER License Number: 33621
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Mashpee, Massachusetts, 02649 Mashpee Massachusetts 02649 Fee Paid: $75.00
Email: rwbombardier3@gmail.com Business Telephone: 508-274-9282
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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