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Commonwealth of Massachusetts o•f • yam,
* Town of Yarmouth
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uELECTRICAL PERMIT
Job Address: 26 NORTH RD Unit: �"`tom `-C a
Owner Name: Repurpose Properties LLC
Owner's Address: 55 Main St Phone: Email:
Purpose of
Building Residential Utility Authorization o.: 16009933
Is this permit in conjunction with a building permit? No Permit Number: BLD 4-29
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters: J,
New Service Amps 200/120 Volts Overhead ❑ Underground 0 No. of Meters: 1 P"
Description of Proposed Electrical Installation: New house with a 200 amp underground service
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: $ 18,000 Work to Start: January 8, 2024
FIRM NAME: License Number: 860 Al
Master/System and/or Journeyman Licensee: JEFFREY STEVEN
DEROUEN License Number: 22206
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Buzzards Bay, MA, 025323227 Buzzards Bay MA 025323227 Fee Paid: $180.00
Email: maryjo@eaysolutions.com Business Telephone: 781 589-5692
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: The Hartford
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