HomeMy WebLinkAboutBLDE-23-19630 10/5/23,8:23 AM `�!'- about:blank
41 Commonwealth of Massachusetts YAK E3,
* . k Town of Yarmouth 0'
ELECTRICAL PERMIT
Job Address: 33 WEST WOODS VILLAGE Unit:
Owner Name: BORASKI BARBARA TR BARBARA A BORASKI REV TRUST
Owner's Address: 33 WEST WOODS VILLAGE Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19630
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: NEW ELECTRIC STOVE
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: 1 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: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System Cl 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: $ 915 Work to Start: October 18, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: RICH M MELVIN License Number: 21829
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: South Yarmouth, MA, 026641207 South Yarmouth MA 026641207 Fee Paid: $50.00
Email: electrical.inspections@efwinslow.com Business Telephone: 5085421160
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: ARROW MUTUAL 6"6 '
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