HomeMy WebLinkAboutBLDE-23-19281 8/2/23,6:22 AM about:blank
Commonwealth of Massachusetts og • Yam ,.
* Town of Yarmouth
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ELECTRICAL PERMIT ,�'
Job Address: 86 WILLOW ST UNIT 4 Unit:
Owner Name: EIGHTY SIX WILLOW STREET LLC
Owner's Address: 86 WILLOW ST UNIT 6 Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19281
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
0
New Service Amps/Volts Overhead 0 Underground❑ of Meters:
Description of Proposed Electrical Installation: Wired washer dryer outlet
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: .e. /f�
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators:PP t ,_/!(�' ,
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: 1
Space Heating KW: Heating Equipment KW: No.Motors: Total HP: Total
No. Heat Pumps: Total KW: Total Tons: Fire Alarm System❑ No.of Devices: a
Swimming Pool: ln-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 0 Level 1 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 800 Work to Start: August 1, 2023
FIRM NAME: License Number: A11149
Master/System and/or Journeyman Licensee: LANCE A MACENERNEY License Number: 11149
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: W YARMOUTH, MA, 026732560 W YARMOUTH MA 026732560 Fee Paid: $80.00
Email: office@fullerelectric.net Business Telephone: 5087750030
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: Acadia Insurance
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