HomeMy WebLinkAboutBLDE-23-19707 10/19/23,2:36 PM \/� about:blank
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-v Commonwealth of Massachusetts -oF • Y-4.
* Town of Yarmouth Vi.
ELECTRICAL PERMIT �4\
Job Address: 41 UNCLE ROBERTS RD Unit:
Owner Name: FAIRBANKS PETER M FAIRBANKS ROBERTA L
Owner's Address: PO BOX 175 Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-19707
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Pool Bonding/Grounding And Heater
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 El No.of Devices:
No.Air Conditioners: Total Tons: Telecom System ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System El 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: $ 5,000 Work to Start: October 21, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: JON MOREAU License Number: 22967
Security System Business requires a Division of Occupational Licensure
"S" LIC. Lic er:
Address: Plymouth, MA, 023607829 Plymouth MA 023607829 e Paid: $75.00
Email: Katherine@coastalphc.com B ess Tele hone: -737-8747
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: The Hilb Group New England, LLC
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