HomeMy WebLinkAboutBLDE-23-19089 7/11/23,2:23 PM about:blank
"\, Commonwealth of Massachusetts o1 • YAK;
*„ Town of Yarmouth ,,,, , c
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ELECTRICAL PERMIT
Job Address: 13 WEST GREAT WESTERN RD Unit:
Owner Name: Daniel Albert Keller
Owner's Address: 13 West Great WesternRoad. Phone: 15087370062 Email: stick1970@comcast.net
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit umber: BLDE;,23-19089
Existing Service Amps/Volts Overhead ❑ Underground❑ o.of Metefs.,3
New Service Amps/Volts Overhead 0 Underground❑ 24:).of Meters
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Description of Proposed Electrical Installation: Move outlets and add front porch lights
No.of Receptacle Outlets: 7 No.of Switches: Generator KW Rating: Type: <.
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No. Luminaires: No.of Recessed Luminaires: 9 No.Wind Generators: Wind KW Rati g:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: Total KVA: < ,J
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total KW: 0
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: $ 1,001 Work to Start: June 2, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: License Number:
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Fee Paid: $50.00
Email: Business Telephone:
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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