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Commonwealth of OffcialUseOnly
� Massachusetts Permit No. BLDE-22-004157
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked
IRev.1/071
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:1/26/2022
City or Town of: YARMOUTH To the Inspector of Wires:
By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
Location(Street&Number) 203 WILLOW ST UNIT 1B
Owner or Tenant MURPHY GARY S TRS Telephone No.
Owner's Address 203 WILLOW ST UNIT 2,YARMOUTH PORT,MA 02675 ^
Is this permit in conjunction with a building permit? Yes El No 0 (Chec Ate Box)
Purpose of Building Utility Authorization No. 4.
Existing Service Amps Volts Overhead 0 Undgrd 0 New Service Amps Volts Overhead ❑ Undgrd ❑ +Will&
-
Number of Feeders and Ampacity O
Location and Nature of Proposed Electrical Work: Upgrade lighting(CAPE ASSOCIATES) U/, �j//V3/j�
Completion of the following table m b AI c or of Wires.
No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of VVV /� otal
Transformers ( /nVCVA
No.of Luminaire Outlets No.of Hot Tubs Generators /2 < VA
No.of Luminaires 49 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
Initiatine Devices
No.of Ranges No.of Air Cond. Tot l No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained
Totals: Detection/Alertine Devices
No.of Dishwashers Space/Area Heating KW Local 0 Municipal 0 Other:
Connection
No.of Dryers Heating Appliances KW Security Systems:*
No.of Devices or Equivalent
No.of Water KW No.of No.of Ballasts Data Wiring:
Heaters Siens No.of Devices or Eauivalent
No.Hydromassage Bathtubs No.of Motors Total HP Telecommunications Wiring:
No.of Devices or Eauivalent
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 ❑ OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
FIRM NAME: EVANDRO R SOUSA
Licensee: Evandro R Sousa Signature LIC.NO.: 53191
(If applicable,enter"exempt"in the license number line.) Bus.Tel.No.:
Address:202 N QUINSIGAMOND AVE,SHREWSBURY MA 01545 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 urn the(check one) El owner 0 owner's agent.
Owner/Agent
Signature Telephone No. PERMIT FEE:$80.00
R E C §a10 E ® / I official Use only
_. . _ -- -- cwnawnwea[tk o� adeacl�ue.�6
"1 r} 2 \1. Permit No. ZOcyandFeeCheed
BUILDING,; i M, D OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (leave blank)
�Y LIGATION 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: 01/24/2022
c. City or Town of: Yarmouth-Ma To the Inspector of Wires:
J By this application the undersigned gives notice of his or her intention to perform the electrical work described below.
u Location(Street&Number) 203 Willow,unit B St
1 Owner or Tenant Cape Associates Inc Telephone No. 508 362-9770
�a,i Owner's Address
1'4:
Is this permit in conjunction with a building permit? Yes ElNo ® (Check Appropriate Box)
Purpose of Building Utility Authorization No.erv
Existing Service Amps / Volts Overhead El Undgrd CI No.of Meters
Newrvice Se Amps / Volts Overhead ID Undgrd 0 No.of Meters
Number of Feeders and Ampacity
ril
Location and Nature of Proposed Electrical Work: Lighting upgrade:multiple rooms
V1Completion of the followingtable mya be waived by the Infector of Wires.
LbNo.of Recessed Luminaires No.of Ceil.-Snsp.(Paddle)Fans No.of Total
Z Transformers KVA
C i No.of Luminaire Outlets No.of Hot Tubs Generators KVA
n
No.of Luminaires 49 swimming pool Above ❑ In- ❑ No.of Emergency Lighting
grnd. grad. Battery Units
J No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones
T.
No.of Switches No.of Gas Burners No.of Detection and
Initiating Devices
l;i No.of Ranges No.of Air Cond. Tool No.of Alerting Devices
No.of Waste Disposers Heat Pump Number Tons -�KW No.of Self-Contained
Totals: -- Detection/Alerting_Devices
No.of Dishwashers Space/Area Heating KW Municipal
Local 0 Connection 0 Other
No.of Dryers Heating Appliances KW SecurityN y
ofstems:*
Devices or Equivalent
No.of Water , No.of No.of Data Wiring:
Heaters Signs Data
llo.of Devices or Equivalent
No.H drom a Bathtubs No.of Motors Total HP Telecommunications Wiring:
y assag No.of Devices or Equivalent
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: $604.5° (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 coverage is in force,and has exhibited proof of same to the permit issuing office.
CHECK ONE: INSURANCE tRi BOND 0 OTHER 0 (Specify:)
I certify,under the pains and penalties of perjury,that the information on this application is true and complete.
BAY STATE ELECTRICAL SOLUTIONS CORP LIC.NO.: 22277
FIRM NAME:
Evandro R Sousa 1
Licensee: Signatrrre�lJttl1l�Yty'SUiN401' LIC.NO.: 53191
(if applicable,enter"exempt"in the license number line Bus.TeL No.: 833-710-150E
Address: 7203 TIMBER VIEW WAY,Marlborough ma 0175 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. I am the(check one)0 owner 0 owner's agent.l
Owner/Agent TPI�.ti�ne N� I PERMIT FEE: $ -U
Signature