HomeMy WebLinkAboutXerox Scan_11122024142835Job Address:
Owner Name:
Owner's Address:
Purpose of
Building
Commonwealth of Massachusetts
Town of Yarmouth
ELECTRICAL PERMIT
822 ROUTE 28 Unit:
MACLYN LLC
ozz KUU I t Zt3 Phone: Email:
Commercial
Is this permit in conjunction with a building permit? Yes
Existing Service Amps / Volts
Overhead ❑ Underground ❑
New Service Amps / Volts Overhead ❑ Underground ❑
Description of Proposed Electrical Installation: Replace of bath exhaust fan unit 257
Utility Authorization No.:
Permit Number: BLDE-23-19246
No. of Meters:
No. of Meters:
No. of Receptacle Outlets:
No. of Switches:
Generator KW Rating: Type:
No. Luminaires:
No. of Recessed Luminaires:
No. Wind Generators: Wind_, ting:
No. Appliances: KW:
No. Water Heaters: KW:
No. Transformers: tal
Space Heating KW:
Heating Equipment KW:
No. Motors: Total HP: Tour W
No. Heat Pumps: Total KW: Total Tons:
Fire Alarm System ElNo. of Devices:
Swimming Pool: In-Grnd. ❑
Above-Grnd. ❑ Hot Tub ElNo.
of Self -Contained Detection/Alerting Devices:
No. Oil Burners:
No. Gas Burners:
Video System El No. of Devices:
No. Air Conditioners:
Total Tons:
Telecom System ❑ No. of Outlets:
No. Energy Storage Systems:
KWH Storage Rating:
Security System [I No. of Devices:
Solar PV KW DC Rating: Solar PV KW AC Rating:
No. of Modules: Roof -Mount El Ground -Mount ElLevel
No. of Electric Vehicle Supply Equipment:
1 ❑ Level 2 ❑ Level 3 ❑ Rating:
Estimated Value of Electrical Work: $ 500 Work to Start: July 27, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ANDREW M LEVESQUE License Number: 17318
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: HARWICH PORT, MA, 026461831 HARWICH PORT MA
026461831 Fee Paid: $80.00
Email: rachael@bphcllc.com Business Telephone: 5084323959
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: Selective Insurance
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