HomeMy WebLinkAboutBLDE-23-20058 12/20/23, 12:19 PM about:blank
�� Commonwealth of Massachusetts of ' YAK
. # Town of Yarmouth
ELECTRICAL PERMIT
Job Address: 72 MASSACHUSETTS AVE Unit:
Owner Name: YURICK LAUREN YURICK DONALD R III
Owner's Address: 102 GUN CLUB RD Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-23-20058
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Bringing power to 2 sheds. Sub-panel wiring and rough/finish wiring.
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: No.of Recessed Luminaires: No.Wind Generators: Wind Rating:
No.Appliances: KW: No.Water Heaters: KW: No.Transformers: To$l, 1:
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 Electric Vehicle Supply Equipment:
No.of Modules: Roof-Mount❑ Ground-Mount❑ Level 1 ❑ Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 12,000 Work to Start: December 19, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: ZACHARY MANCINI License Number: 23612
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: YARMOUTH, MA, 02673 YARMOUTH MA 02673 Fee Paid: $75.00
Email: ztmancini@gmail.com Business Telephone: 6174299070
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: MSA
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