HomeMy WebLinkAboutBLDE-23-19570 9/26/23,3:08 PM about:blank
Commonwealth of Massachusetts of YA °`
Town of Yarmouth zo.A
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ELECTRICAL PERMIT s
Job Address: 1067 ROUTE 28 Unit:
Owner Name: MULLEN MARY ANGUS CIO RYANS FAMILY AMUSEMENTS
Owner's Address: 1067 ROUTE 28 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19570
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: cut and cap for demo
' 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 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 500 Work to Start: September 22, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: KYLE GONSALVES License Number: 57170
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SWANSON, MA, 02777 SWANSON MA 02777 Fee Paid: $80.00
Email: kgonsalves91@gmail.com Business Telephone: 774-301-6663
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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