HomeMy WebLinkAboutblde-24-796 5/20/24,6:09 AM about:blank
Commonwealth of Massachusetts ov •' YA p .
*U Town of Yarmouth `
ELECTRICAL PERMIT
Job Address: 785 ROUTE 28 UNIT 3 Unit:
Owner Name: 785 ROUTE 28 LLC
Owner's Address: Phone: Email:
Purpose of
Building Residential Utility Authorization No.:
Is this permit in conjunction with a building permit? Yes Permit Number: BLDE-24-796
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Wiring of FAST pump
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: ln-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 0 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 0 Level 2❑ Level 3❑ Rating:
Estimated Value of Electrical Work: $ 1,500 Work to Start: May 22, 2024
FIRM NAME: License Number: 860 Al
Master/System and/or Journeyman Licensee: JEFFREY STEVEN
DEROUEN License er`2
Security System Business requires a Division of Occupational Licensure
"S" LIC. Lic se Number:
Address: Buzzards Bay., MA, 025323227 Buzzards Bay MA 025323227 Fe aid: $50.00
Email: maryjo@eaysolutions.com Bus ss Teleph . 81 589 5692
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: The Hartford
--1---(2,1\04, 4 coLoutz--6?Z.)• 60'4. .-6- ictloiL-z--- c(-742-(4 e-..
about:blank 1/1