HomeMy WebLinkAboutBLDE-23-20038- 12/15/23,7:18 AM about:blank
Commonwealth of Massachusetts ,
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*uTown of Yarmouth
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ELECTRICAL PERMIT " �i
Job Address: 3 KATHARYN MICHAEL RD Unit:
Owner Name: RUSSELL CYNTHIA L
Owner's Address: 3 KATHARYN MICHAEL RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-20038
Existing Service Amps/Volts Overhead❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring of Mini Split Heat Pump System and disconecting electric heat
No.of Receptacle Outlets: 1 No.of Switches: Generator KW Rating: Type:
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No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind KW Rating:
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No.Appliances: KW: No.Water Heaters: KW: No.Transformers: 4 ' r , «.,
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Space Heating KW: Heating Equipment KW: No.Motors: Total HP- To tt�l'KyV:►
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No. Heat Pumps: 1 Total KW: Total Tons: 2 Fire Alarm System 0 No.o `fvit
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 Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount 0 Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 3,000 Work to Start: December 15, 2023
FIRM NAME: A-1 License Number:
Master/System and/or Journeyman Licensee: STANLEY D ANDREWS License Number: 15248
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BUZZARDS BAY, MA, 025325640 BUZZARDS BAY MA 025325640 Fee Paid: $50.00
Email: buzzardsbayelectric(c�gmail.com Business Telephone: 508-648-1477
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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