HomeMy WebLinkAboutBLDE-23-19445 9/6/23,6:07AM about:blank
°\ Commonwealth of Massachusetts oc YAK<<
*� Town of Yarmouth ���
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ELECTRICAL PERMIT �` �'
Job Address: 29 MIDSTREAM DR Unit:
Owner Name: DUCHARME DENNIS M
Owner's Address: 29 MIDSTREAM DR Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19445
Existing Service Amps/Volts Overhead ❑ Underground❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wire new wall hung boiler
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(„t,
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System CI No.of Devices: V
Swimming Pool: In-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Devices: I[/
No.Air Conditioners: Total Tons: Telecom System CI No.of Outlets: T
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 Cl Ground-Mount El Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: September 5, 2023
FIRM NAME: License Number: 1
Master/System and/or Journeyman Licensee: MATTHEW DAMIAN KLINE License Number: 53620
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Harwich, MA, 026451940 Harwich MA 026451940 Fee Paid: $50.00
Email: Mdk7178@yahoo.com Business Telephone: 508 685 7154
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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