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Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
Job Address:
72 BRAY FARM RD NORTH
Unit:
Owner Name:
STONE RICHARD R PIERCE -PEAK ALISON
Owner's Address:
420 WEST YARMOUTH RD
Phone:
Purpose of
Building
Residential
Is this permit in conjunction with a building permit?
No
Existing Service
Amps / Volts
Overhead ❑
New Service
Amps / Volts
Overhead ❑
Description of Proposed Electrical Installation: wire fireplace
Email:
Utility Authorization No.:
Permit N mber, BLDE-23-19399
El eters:
Underground ❑ No.� s:
7
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 ❑ 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 Modules: Roof -Mount ❑ Ground -Mount ❑
No. of Electric Vehicle Supply Equipment:
Level 1 ❑ Level 2 ❑ Level 3 ❑ Rating:
Estimated Value of Electrical Work: $ 1,310 Work to Start: August 28, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JOSEPH V SLOWEY License Number: 11186
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Plymouth, MA, 023603629 Plymouth MA 023603629 Fee Paid: $50.00
Email: jvselec.office@gmail.com Business Telephone: 5083262280
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: Arbella
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