HomeMy WebLinkAboutBLDE-24-921 6/10/24,2:36 PM (/ about:blank
.C\ q3 Commonwealth of Massachusetts rofY4 ,i* Town of Yarmouth j ,,0i
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ELECTRICAL PERMIT `MATTACMLISi ,'I
Job Address: 25 DARTMOOR WAY Unit:
Owner Name: MIKL JAROMIR
Owner's Address: 25 DARTMOOR WAY Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-921
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring for heat pump
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 0 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: $ 300 Work to Start: June 10, 2024
FIRM NAME: License Number: 4611
Master/System and/or Journeyman Licensee: DOUGLAS G GATH License Number: 21666
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: PEPPERELL, MA, 014631633 PEPPERELL MA 014631633 Fee Paid: $50.00
Email: electricalpermits@callmurphys.com Business Telephone: 5082021866
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: Federated Insurance
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