HomeMy WebLinkAboutBLDE-23-19812 11/9/23,5:55AM about:blank
Commonwealth of Massachusetts oc ' y-
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Town of Yarmouth �, c 0yr
ELECTRICAL PERMIT ; {
Job Address: 120 OLD TOWNHOUSE RD Unit:
Owner Name: EMERSON ROBERT M TRS EMERSON CAROLE M
Owner's Address: 15 HIGGINS CROWELL RD Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19812
Existing Service Amps/Volts Overhead 0 Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Install 11 LED Light Fixture
I No.of Receptacle Outlets: No.of Switches: Generator KW Rating: Type:
No.Luminaires: 10 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: 0
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 Dvices:
No.Oil Burners: No.Gas Burners: Video System 0 No.of Device;
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: $600 Work to Start: November 11, 2023
FIRM NAME: License Number:
Master/System and/or Journeyman Licensee: GARRY THORPE License Number: 23458
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: WEST YARMOUTH, MA, 02673 WEST YARMOUTH MA 02673 Fee Paid: $80.00
Email: GHORPE@GMAIL.COM Business Telephone: 7742686102
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:
It 1;3 (74( p . (u..(c-44)
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