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Commonwealth of Massachusetts o� YAK
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ELECTRICAL PERMIT 14or ""`
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Job Address: 225C WHITES PATH Unit:
Owner Name: TWO TWENTY FIVE WHITES PATH LLC
Owner's Address: 231 WILLOW ST Phone: Email:
Purpose of
Building Commercial Utility Authorization No.:
Is this permit in conjunction with a building permit? No Permit Number: BLDE-24-847
Existing Service Amps/Volts Overhead ❑ Underground ❑ No. of Meters:
New Service Amps/Volts Overhead❑ Underground❑ No. of Meters:
Description of Proposed Electrical Installation: Installation of CCTV security devices at Fed Ex Ground 225 Whites Path South
Yarmouth MA 02664 (100861771-08)
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 ❑ No.of Outlets:
No. Energy Storage Systems: KWH Storage Rating: Security System ❑ No.of Devices: 7
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: $ 9,101 Work to St . June 13,0
FIRM NAME: A-1 License
Master/System and/or Journeyman Licensee: JOSEPH D BROWN License Number: 7057
Security System Business requires a Division of Occupational Licensure
"S" LIC. License Number: SS-002567
Address: FAIRHAVEN, MA, 027193313 FAIRHAVEN MA 027193313 Fee Paid: $115.00
Email:jennifer.torres(c�jci.com Business Telephone: 4137500202
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: Old Republic Insurance Co
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