HomeMy WebLinkAboutBLDE-23-12627- Commonwealth of Massachusetts ,og Y4.4-
Town of Yarmouth tx ;, °'
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ELECTRICAL PERMIT v",�HPORAifo‘bA9 A
Job Address: 183 SOUTH SHORE DR UNIT El Unit:
Owner Name: BOUTWELL JEFFREY P
Owner's Address: 13 SHASTA DR Phone: Email:
Purpose of
Building Utility Authorization No.:
Is this permit in conjunction with a building permit? Permit Number: BLDE-23-12627
Existing Service Amps/Volts Overhead 0 Underground 0 No.of Meters:
New Service Amps/Volts Overhead❑ Underground 0 No.of Meters:
Description of Proposed Electrical Installation:
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 ❑ 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: $ Work to Start:
FIRM NAME: ROBERT E BOWDOIN License Number:
Master/System and/or Journeyman Licensee: Robert Bowdoin License Number: 51981
Security System Business requires a Division of Occupational
Licensure"S"LIC. License Number:
Address: 502 PITCHERS WAY00.0 HYANNIS MA 026012582 Fee Paid: $50.00
Email:0 Business Telephone:0,0
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:
CICC-P A21"_ 22C4-3 (49 6A? drr._.-.