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BLDE-24-648-
4/22/24,739 AM about:blank s Commonwealth of Massachusetts o Y ' *� ; Town of Yarmouth ;� :. p , y, ELECTRICAL PERMIT t-.re Job Address: 822 ROUTE 28 Unit: Owner Name: MACLYN LLC Owner's Address: 822 ROUTE 28 Phone: Email: Purpose of Building Commercial Utility Authorization No.: Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-648 Existing Service Amps/Volts Overhead 0 Underground ❑ No. of Meters: New Service Amps/Volts Overhead 0 Underground❑ No. of Meters: Description of Proposed Electrical Installation: Bonding of handicap pool lift. 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.❑ 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 0 Level 3❑ Rating: Estimated Value of Electrical Work: $ 100 Work to Start: April 16, 2024 FIRM NAME: License Number: Master/System and/or Journeyman Licensee: JESSE R LING License Number: 15646 Security System Business requires a Division of Occupational Licensure "S" LIC. License Number: Address: WEST CHATHAM, MA, 026691200 WEST CHATHAM MA 026691200 Fee Paid: $80.00 • Email: rewire@comcast.net Business Telephone: 508-400-2233 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: a � SI u `l4i - about:blank 1/1 ?-1-eaCk):1 4 Commonwealth of Massachuss O vial se C3n1 �4` Permit No.: (4—,1� L� 1`i'� 1�r_=�` i Department of Fire Services Occupancy and Fee Checked: el 4l BA'D OF FIRE PREVENTION REGULATIONS [Rev. 1/2023] 3UiI_u - -i�' _- 6Y �' •4Ci'i" i . PLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 CMR 12.00 City or Town of: YARMOUTH _ Date: 4 I Co' - Z,Li To the Inspector of Wires: By this application, he undersigned gives notices of his or her intention to perform the electrical wor described below. Location(Street&Number): e.; 2 7.. Lit c= 7-. Unit No.: N A Owner or Tenant: l� L S G k...�tiVz-t-k.C. )1fiRt.-tv-/t4 Email: --k,//k- Owner's Address: A--fi1/4-Q. Phone No.: Is this permit in conjunction with a building permit?(Check appropriate box) Yes❑ No yi Permit No.: Purpose of Building: \ .21\.1. i �.%)\ I C. Utility Authorization No.: kA Existing Service: 3 zsrx__? Amps lg t..)/ ,b Yolts Overhead❑ Underground©- No. of Meters: i New Service: iCi/i4 Amps' / Volts Overhead❑ Underground❑ No. of Meters: Description of Proposed Electrical Installation: 1s.SZ,-L. 'D u.bc'I-�Co 4 D.- `IZ l C A l' ? r co ' t-,.\ c=-r Co : -tion of the following table may be waived by the Inspector of Wires. No.of Re :.table Outlets: No.of Switches: Generator KW Rating: Type: ` No.Luminaires: No.of Recessed Luminaires: No. Wind Generators: Wind KW Rating: No.Appliances: K '. No.Water Heaters: KW: No.Transformers: Total K • . Space Heating KW: --ating Equipment KW: No.Motors: Total HP: otal KW: No.Heat Pumps: Total KW: • . al Tons: Fire Alarm Syste,. LI o.of Devices: Swimming Pool:In-Grnd.❑ Above-Gmd.0 Ho .. ■ No.o - "- ontained Detection/Alerting Devices: No.Oil Burners: No.Gas Burners: I ideo System 0 No.of Devices: No.Air Conditioners: Total Tons: e gm System❑ No.of Outlets: No.Energy Storage Systems: KWH : .ge Rating: Security -, ❑ No.of Devices: Solar PV KW DC Rating: S. . 'V KW AC Rating: No.of Electric Ve ' - Supply Equipment: No.of Modules: Roo •ount 0 Ground-Mount❑ Level I 0 Level 2❑ Le. 1 3 0 Rating: OTHER: Attach additional detail if desired, or as required by the Inspector of Wires. Estimated Value of Electrical Work: 1/ 00 (When required by municipal policy) Date Work to Start: it.`t (0"- 2.14 Inspections to be requested in accordance with MEC Rule 10,and upon completion. FIRM NAME: I--1;4.0 E-\,2C -0—ec t'laC-tom Al...SLGA ( A-1 ❑ or C-1 ❑ LIC.No.: Master/Systems Licensee: c� L, 1 ).if. LIC. No.: 1,�6 4(0 Journeyman Licensee: K. L\ KG LIC. No.: t cpc-( 3 14 Security System Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.: Address: fJ c7 C 1 \,0-es 1 (..-{'-�-ik 1.t-1A-X U\ . Email: 2 UUl k 2 Co ALL 14S `C. %k@ T Telephone No.: .SC,P—400'2-Z- 3 I certify, under the pains and enalties of perjury,that the information on this application is true and complete. • Licensee: i �i Print Name: • `-.. LAW-) Cell. No.6Gcn>-' .cx.'0.233 INSURANC COVERAGE: Un ess waived by the owner,no permit for the performance of electrical work may issue unless the licensee provides proof of liability including"completed operation"coverage or its substantial equivalent.The undersigned certifies that such coverage is in force and has exhibited proof of me to the permit issuing office. CHECK ONE: INSURANCE 111 .BOND❑ OTHER❑ Specify: 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. I am the: (Check one)Owner❑ Owner's agent❑ Owner/Agent: Tel. No.: Signature: Email.: