HomeMy WebLinkAboutBLDE-23-19536 9/28/23,9:03 AM about:blank
641.19 Commonwealth of Massachusetts m of • Y
*uTown of Yarmouth � • 0
p y
ELECTRICAL PERMIT , � ;,
Job Address: 1 UNCLE JIMMYS LN Unit:
Owner Name: COOK DALE A COOK LELIBETH C
Owner's Address: 1 UNCLE JIMMYS LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19536
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No. of Meters:
Description of Proposed Electrical Installation: adding 6 receptacles,4 recessed lights, 1 exterior spot light
No.of Receptacle Outlets: 6 No.of Switches: 1 Generator KW Rating: /s T e:
No. Luminaires: 0 No.of Recessed Luminaires: 4 No.Wind Generators: tin .
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: ((( To
Space Heating KW: Heating Equipment KW: No.Motors: total HP: 1-q K.
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System jilt).40; ' I �
Ne
Swimming Pool: ln-Grnd.0 Above-Grnd.❑ Hot Tub 0 No.of Self-Contained DetectionrtingDevicA.q.
No.Oil Burners: No.Gas Burners: Video System El No.of Device
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: $ 1,000 Work to Start: September 21, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ALVIN OUTLAND License Number: 58514
Security System Business requires a Division of Occupational Licensure
"S" LIC. Lice umber:
Address: ATTLEBORO, MA, 02703 ATTLEBORO MA 02703 Fe Paid: $50.00 + 24 'A
Email: Aoutland26@gmail.com Bus s Teleph . 078066799
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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