HomeMy WebLinkAboutBLDE-23-19716- 10/23/23,6:00 AM about:blank
Commonwealth of Massachusetts og • Y
* Town of Yarmouth
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ELECTRICAL PERMIT
Job Address: 15 WIDGEON LN Unit:
Owner Name: SHEPARD GREGORY M
Owner's Address: 15 WIDGEON LN Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-23-19716
Existing Service Amps/Volts Overhead❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead 0 Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Emergency Panel Swap
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 KIN: .
No.Heat Pumps: Total KW: Total Tons: Fire Alarm System 0 No.of Devices:
Swimming Pool: ln-Grnd.❑ Above-Grnd.❑ Hot Tub❑ No.of Self-Contained Detection/Alerting Devices:
No.Oil Burners: No.Gas Burners: Video System 0 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 0 Level 3❑ Rating:
Estimated Value of Electrical Work: $ 5,000 Work to Start: October 20, 2023
FIRM NAME: License Number: 8181
Master/System and/or Journeyman Licensee: ALEXANDER VOIKOS License Number: 21687
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number:
Address: Mashpee, MA, 02649 Mashpee MA 02649 Fee Paid: $50.00
Email: siachetta@capeassociates.com Business Telephone: 5082551770
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: New Hampshire Employers Insurance Company
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