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Commonwealth of Massachusetts of ...
Town of Yarmouth
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ELECTRICAL PERMIT <``�� � ,
Job Address: 8 CRUISER LN Unit:
Owner Name: CURRAN JOANNE
Owner's Address: 20 HARDING LN Phone: Email: Vi L,cei C 0
Purpose of
Building Residential Utility Authorization No.: 14026058
Is this permit in conjunction with a building permit? Yes Permit Numb : BLDE-23-19286
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meje :_
New Service Amps 100/Volts Overhead❑ Underground❑ No. of MetEws: 4.
Description of Proposed Electrical Installation: New residence ..
No.of Receptacle Outlets: 40 No.of Switches: 24 Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters: 1 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: 8
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: 1 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❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 30,000 Work to Start: August 1, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: DANIEL 0 WILKEY License Number: 32288
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: SOUTH DENNIS, MA, 026603744 SOUTH DENNIS MA 026603744 Fee Paid: $180.00
Email: dwilkey396@hotmail.com Business Telephone: 508-360-4636
INSURANCE COVERAGE: Unless waived by the owner, no permit for the performance of electrical work may issue unless the
licensee provides proof of liability insurance including "completed operation"coverage or its substantial equivalent. The
undersigned certifies that such coverage is in force, and has exhibited proof of same to the permit issuing office.
INSURANCE:
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Official Use Only
*___ Commonwealth of Massachusetts Permit No.: �7�� l ct
—_.=1 _ i Department of Fire Services Occupancy and Fee Checked:
BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/2023]
',,,.-�'`" APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code(MEC), 527 C R 12.00
City or Town of: YARMOUTH Date: I1Utr_ , o20Q.3
To the Inspector of Wires:By this ap lication,the undersigned gives notices of his or her intention to perform the electrical work described below.
Location(Street&Number):s. C.cu tS E 1 1_J . (J25 I )(Ac/t JJnit No.:
J Mani)Owner or Tenant: Mani) n Cor N Email: _
Owner's Address: Phone No.:
Is this permit in conjunction with a building permit?(Check appropriate box)Yes® No ElPermit No.:
Purpose of Building {] 'Fart;AYtt (y er W S It f i Utility Authorization No.: I trio ,6$
Existing Service: Amps / Volts Overhead❑ Underground❑ No. of Meters:
New Service: /00 Amps/AO (r440 Volts Overhead[1 Underground❑ No. of Meters: /
Description of Proposed Electrical Installation: W till & ' Ai c' Ofl E Ftt;l y Dt,)z (l to
Completion of the following table may be waived by the Inspector of Wires.
No.of Receptable Outlets: lb No.of Switches: l Y Generator KW Rating: Type:.
No.Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
No.Appliances: KW: No.Water Heaters:/ KW: 0 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 0 No.of Devices:
Swimming Pool:In-Grnd.❑ Above-Grnd.❑ Hot-Tub❑ No.of Self-Contained Detection/Alerting Devices: g
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 0 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 0 Rating:
OTHER:
Attach additional detail if desired,or as required by the Inspector of Wires.
Estimated Value of Electrical Work: .�r 000. (When required by municipal policy)
Date Work to Start:A ar• II 2oZ3 Inspections to be requested in accordance with MEC Rule 10,and upon completion.
FIRM NAME: A-1 0 or C-1 0 LIC.No.:
Master/Systems Licensee: LIC.No.: _
Journeyman Licensee:i �4', W t '. sy LIC.No.: 3 aa.8 F E,
Security Syste Business requires a Division of Occupational Licensure"S"LIC. S-LIC.No.:
Address: r0.
Email: d r!I'I.V3 9 0 (Jet Ip'!*$ 1 ,�P� Telephone No.:.506 3Go 4(636
I certify,u the p s a penalties of perjury,that the information on this application is true and complete.
License • Print Name:°PA-04) U 1 KW Cell.No.:Yeiff,-4'3 6
INSURANCE C VE E: Unless waived by the owner,no permit for the performancc+of electrical work may issue unless the licensee
provides proof of liability 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.
CHECK ONE: INSURANCE 4 BOND❑ OTHER❑ Specify:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below,I hereby waive this requirement. I am the:(Check one)Owner❑ Owner's agent❑
Owner/Agent: Tel.No.:
Signature: Email.: