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Work Order Information
Utility Auth/WO #: 01536324 Date: 08/08/2006 Company EILEEN CAREW
Rep:
Report By: YAR 121 CAMP ST U82 VILLAGES AT CAMP ST LLC
Status: ACTIVE Service: NEW Type: RES
Nature of Work: NEW 100 AMP UG SERVICE TO TX, 1200 SO FT, GAS HT/HW, ELEC RG/DR, NO
A/C, PENDING INSP
Service Information:
There is no Service Information.
Permit Information
Permit #: E07-144 Meters: 1 Reseal (Y/N): Y Date: 10/02/2006
Inspector: W10060 Description:
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http://www.nstaronline.comlappslwpslwpspermit.cfm?Page=Permit&Unique= { ts_'2006- l ... 10/2/2006
Commonwealth of Massachusetts Official Use Only
Department of Fire Services Permit No.Dim L}-
BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked '
k1wi • [Rev. 11/991 leave blank
APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK
All work to be performed in accordance with the Massachusetts Electrical Code (MEC), 527 CMR 12.00
VASE PRINT IN INK OR TYPE ALL INFORMATION) Date: 8/8/06
11 City or Town of: Yarmouth, MA To the Inspector of Wires:
- - o J3y �l is application the undersigned gives notice of his or her intention to perform the electrical work described below.
4* tion (Street & Number) 121 Camp Street Unit 82
=` ,... er or Tenant Telephone No.
er's Address
Lls �his permit in conjunction with a building permit? Yes ® No ❑ (Check Appropriate Bog)
- — 1�Oose of Building Single Family Dwelling Utility Authorization No. 1536324
Existing Service Amps / Volts Overhead ❑ Undgrd ❑ No. of Meters
New Service 100 Amps 120/240 Volts Overhead ❑ Undgrd ® No. of Meters 1
Number of Feeders and Ampacity
Location and Nature of Proposed Electrical Work: WIRE HOUSE, INSTALL SERVICE
Completion of the following table may be waived by the Inspector of Wires.
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No. of Recessed Fixtures
No. of Ceil: Susp. (Paddle) Fans
No*of Total
Transformers KVA
No. of Lighting Outlets
No. of Hot Tubs
Generators KVA
No. of Lighting Fixtures
Above ❑ In- ❑
Swimming Pool rnd. rnd.
o. o Emergency Lighting
Batte Units
No. of Receptacle Outlets
No. of Oil Burners
FIRE ALARMS
I No. of Zones
No. of Switches
No. of Gas Burners
No. of Detection and
Initiating Devices
No. of Ranges
No. of Air Cond. Total
Tons
No. of Alerting Devices
No. of Waste Disposers
Heat Pump
Totals:
Number
- - - J
Tons
* *
KW
No. oSelf-Contained
Detection/Alertina Devices
No. of Dishwashers
Space/Area Heating KW
Local ❑ Municipal ❑ Other
Connection
No. of Dryers
Heating Appliances KW
Security Systems:
No. of Devices or E uivalent
No. of Water,
Heaters
No. o No. of
Signs Ballasts
Data Wiring•
No. of Devices or E uivalent
No. Hydromassage Bathtubs
No. of Motors Total HP
Telecommunications Wiring:
No. of Devices or Equivalent
OTHER:
Attach additional detail if desired, or as required by the Inspector of Wires.
t 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.
CHECK ONE: INSURANCE X BOND ❑ OTHER ❑ (Specify:) 10/31/2006
(Expiration Date)
Estimated Value of Electrical Work: (When required by municipal policy.)
.Work to Start: 8/8/06 Inspections to be requested in accordance with MEC Rule 10, and upon completion.
I certify, under the pains and penalties of perjury, that the information on this application is true and completer
FIRM NAME: PATTON ELECTRIC INC LIC. NO. A15542
. Licensee: RICHARD PATTON Signature LIC. NO.:
(If applicable, enter "exempt" in the license number line.) Bus. Tel. No508 539 0200
�1 Address: PATTON ELECTRIC INC. PO BOX 1525 MASHPEE MA 02649 Alt. Tel. No.:
OWNER'S INSURANCE WAIVER: I am aware that the Licensee does not have the liability insurance coverage normally
required by law. By my signature below, I hereby waive this requirement. I am the (check one) ❑ owner 0 owner's agent.
a Owner/Agent PERMIT FEE: $125.00
Signature Telephone No.