HomeMy WebLinkAboutBLDE-23-19902 11/28/23,2:16 PM about:blank
Commonwealth of Massachusetts of • y-4�
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*.� Town of Yarmouth
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ELECTRICAL PERMIT ''
Job Address: 265 NORTH MAIN ST Unit:
Owner Name: FAIRVIEW EXT CARE SERVICE INC
Owner's Address: 265 NORTH MAIN ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19902
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
Description of Proposed Electrical Installation: Install LED Fixtures
No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No. Luminaires: 324 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: / pr
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: $ 10,000 Work to Start: November 28, 2023
FIRM NAME: License Number: 2631 Al
Master/System and/or Journeyman Licensee: David La Lama License Number: 17544
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: BRAINTREE, MA, 02184 BRAINTREE MA 02184 Fee Paid: S80.00
Email: dlalama@ecsnorthatlantic.com Business Telephone: 617-590-8881
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: NGM
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