HomeMy WebLinkAboutE-99-664The Commonwealth •oJ Massachusetts
Dcpo fmrnr of Public SoIcfY «<w-.r a ret o.«e<. '•
` DOARD OF FIRE PREVENnON REGULATIONS = CALR I2o0 3/90 G.<.< a..a .: .
uP APPLICATION FtA ORpPERMITrTOthe PERFOOt o MirkIELEi TR12.00
ICAL 1IVORFC
ip,r'ASE PRILIr Ili INS IIL OR ME aLL O'Q=IO
•ARCS(.
Io ch" spc�tys��T'a
City or Sovn of Yarmouth /,�l\ 1 L
Tha undses Lg.ed applies for a Perak ro pcefom the eleetelul work do d
Lautloo (street t. Humber) 19 Barkentei
wncr or Tcoinc James .Passios a56-1
Is tlds permLc is .Coa)uncciot with a building perOIC:
Yes ® !to 0(mitt p Wc)
pu rposa ai aulldfnL UL111Ly Auts.oc!."ttoa N0. _...
N CIO,, ng Service Raps _ volts Overhead ❑ Undgrd r��l' ' to. of tteeecs
exEsc
tow Sccvfce -Oi1 J-ps 17I1//�d/l volts OveNeid ❑ Uodgrd Cif M. of tfeters. 1
K,saber-of-Fccderr-aad•HpaeLey
Locaeton sad Nscure of proposed Elceatul Nock INSTALL UND
cnr_annrun 4FRVTCF.
Iotai
go. of Transformers tcvh
No. of Llshcing outlets
go. of Hoc Tubs
Ito: of Lighting Flexures
Above ❑ [a' ❑
Swlming pool md, grnd.
Ceneea[oes - KVA
�UetisMy Lighting
No. of -mceptaele Oucltts
No. of oil Burners
Batt." .
Switch Outten
Ko. of Cam Burners
FIRE AWACS No. of Zoncs
fb. of DcccccLon and
Total
No. of Ranges
go. of Air Cond. cons
InitLaeing DevLees
No. of Samdlni'Ocvtces
p sts Tout XOtAl
go. of DisposalsTong
KuNo, of
Ko. of 6e1ff Contained
Ito. of DLshwsshcrs
Space/Area Lkatlng
Iktcc Loa/SoundLng DcVLCef
["cal ❑ ❑Other '
i�
Ito. of DryersLkstLng
DcvLees
corv,eeelon
og o
Low Voltage
Ito. af•Wat" heaters i1
SIs Ballasts
Wring
No. Hydro tLssage Iubs
Ko. of rotors Toeat Kp
.•
alum,
IKSURANcs ODVU=, Pursuant to tbe.requlreaents, of Naseachusetts Ccnersl Laws.
I have a ��rtr,creae L1abLlIt Insurance Pol1SXJ11e1u4L1g CosplecC* Opera clone coverage or lta substanc Lal
equlvaleatb: 1�5.®�—I�EcItted vitid prco[ of eau co this offLce. YESQ Ito Q'
IE Y041aia checked TES, plea as indicate the Hype of tartrate by checking the appropriate boa.
INSURANCE 0 ium ❑ onwt ❑ ([lease Speel(y)Ali. < p raglan ac•.
GeLoated value of Electrical Work
S Work to Snrc Inspect!". Date Requested: ►dwgn Flnal���
Zzz Signed under the peoalties of per)ucy:
a` FRUEAN UTILITIES Ltc. No A1�3
P[tW NAME
U Licensee SAME Signature LIC. NO,----
.J t Bus. Tel. No.
r W 1 N Address 18 FRUEAN WAY S YARMOUTH. MA )02664 545-3�8 -691��
Alc. tat. W. is sac
i 1 OWNE6'S INSURANCT WAIVER, I as aware that the Licensee does not halt the Lnsuranee eOvera[a or
stsax[al avuLvlttat as raqui``ed by Massachusetts Ceneeal wa. a that ay •Canacura on this permit
epplLeatioa valved Nis requLreaeac. Owner Agent (Plume check one) .
ys t Telephone No. PEMIT FEE S
Slg,utura o OwcC oc Bca
LN
Lit
U
WIRE INSPECTOR'S OEPARTMENT
YARMOUTH TOWN HALL
SOUTH YARMOUTH, MASS. 02664
• I I
Fee J�.d
Date
Name of Job
Name of Electrician
Location
FOR PERMIT TO INSTALL
�ijs!}y' APPLICATION FOR ELECTRICAL SERVICE AND REQUEST
InspeE o of Wires
Toxin of Y n r: rn t❑ Massachusetts
Wiring Permit x `"'N COM/Electric x 316 218
Building Permit x 333 Date Fj 2') j Q 9
Customer: Jau,es Pa SS1C3 I on (Street x) 19 Earkentei ne
Lot x in the village of R utility pole number or underground number
Customer's billing address 7 ijn Iri rill '?O.dClr C^tf n," '"3 J18(iG
i
Temporary New installation X. Change of service Starting date
Job description
I
Service entrance voltage 1n83311 1 20/RnW ge 200 Phase
Wire size (cu. or aL) d 1 n a 11 Conductor per phase
i
Number of meters 1—water heater ' Off peak: Yes —No— /
Estimated load: Electric heat kw, lights kw, Range dryer Motors, UP & Phase
Ready for first inspection F 12 919 9 Ready for final inspection 6 / 2 9 / 9 9
Electrical Contractor F�liGA:l 1j1T7,T"T11—Lic x Al 3463 Telephone x 398-6911
Address 18 FRULAN iiAYr S. YARt]OUTIfr MA
Additional Remarks: I
iI
I Do Not Write Below This Line
ELECTRICAL WIRING INSPECTION CERTIFICATE
I INSPECTOR OF WIRES
INSPECTIONS
Temporary Service
Roughing in
Service and Meter ,[i, el 1
OR Peak Meter y I
Final Approval (2
Disapproved'
'For the following reasons
Fi7 trill
FEE CHARGE
CERTIFICATE OF INSPECTION - C
Date /
To the COMMONWEALTH ELECTRIC COMPANY. The installation described above has been completed and has this day been inspected and approval
granted for connection to your service { l� 0 6� n
Inspem.of Wires {�
WIRING INSPECTOR TO BE NOTIFIED WHEN WORK IS READY FOR INSPECTION
CA 46
Permit Good For One Year From Date Of Issue
INSPECTOR'S COPY TO COWELECTRIC