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BLDE-21-002792 �' � Commonwealth of Official Use Only 1. `,► Massachusetts Permit No. BLDE-21-002792 BOARD OF FIRE PREVENTION REGULATIONS Occupancy and Fee Checked [Rev.1/07] APPLICATION FOR PERMIT TO PERFORM ELECTRICAL WORK All work to be performed in accordance with the Massachusetts Electrical Code (MEC),527 CMR 12.00 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date:11/17/2020 City or Town of: YARMOUTH To the Inspector of Wires: By this application the undersigned gives notice of has or her intention to pertQ the el cal work described blow Location(Street&Number) S r1!7t I tiv Owner or Tenant ROMN CATH BISHOP OF FALL RIVER Telephone No. Owner's Address C/O ST PIUS X PARISH, CLARA ST,SOUTH YARMOUTH, MA 02664 Is this permit in conjunction with a building permit? Yes 0 No 0 (Check�'t�'i *attikr Purpose of Building Utility Authorization No. Existing Service Amps Volts Overhead 0 Undgrd 0 No.o � O 41/4"1"--------- New Service Amps Volts Overhead 0 Undgrd 0 No.of Meters Number of Feeders and Ampacity /44 � Location and Nature of Proposed Electrical Work: Disconnect existing A/C system&rewire new system. (5 BARBARA SIRE' a1 Completion of the following table may be waived by the Inspector of Wires. No.of Recessed Luminaires No.of Ceil:Susp.(Paddle)Fans No.of Total Transformers KVA No.of Luminaire Outlets No.of Hot Tubs Generators KVA No.of Luminaires Swimming Pool Above ❑ In- ❑ No.of Emergency Lighting grnd. grnd. Battery Units No.of Receptacle Outlets No.of Oil Burners FIRE ALARMS No.of Zones No.of Switches No.of Gas Burners No.of Detection and Initiating Devices No.of Ranges No.of Air Cond. 1 Total No.of Alerting Devices Tons No.of Waste Disposers Heat Pump Number Tons KW No.of Self-Contained Totals: Detection/Alertine Devices No.of Dishwashers Space/Area Heating KW Local ❑ Municipal 0 Other: Connection No.of Dryers Heating Appliances KW Security Systems:* No.of Devices or Equivalent No.of Water KW No.of No.of Data Wiring: Heaters Signs Ballasts No.of Devices or Equivalent 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. Estimated Value of Electrical Work: (When required by municipal policy.) Work to start: Inspection to be requested in accordance with MEC Rule 10,and upon completion. 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 0 BOND 0 OTHER 0 (Specify:) I certify,under the pains and penalties of perjury,that the information on this application is true and complete. FIRM NAME: JAMIE TAVARES Licensee: Jamie Tavares Signature LIC.NO.: 51174 (If applicable,enter"exempt"in the license number line.) Bus.Tel.No.: Address:775 WOOD ST, FALL RIVER MA 027214615 Alt.Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: OWNER'S INSURANCE WAIVER:I am aware that the License does not have the liability insurance coverage normally required by law.But signature below,I hereby waive this requirement.I am the(check one) 0 owner 0 owner's agent. Owner/Agent Signature Telephone No. 'PERMIT FEE: $80.00 I 1 Cortu onwena olcc7�Ierreeifs Official Use Only I. : it 2epart eat a .}in ices Permit No. u l'-79- � a 71 ' Occupancy and Fee Checked ?� BOARD OF FIRE PREVENTION REGULATIONS [Rev. 1/07] (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 (PLEASE PRINT IN INK OR TYPE ALL INFORMATION) Date: l I- /0-010a0 City or Town of: Y rosevi tt To the Inspector of Wires: By this application the undersigned gives notice of his or her intention to perform the electrical work described below. Location(Street&Number) S Arlie" Si. Owner or Tenant Ro uv C,. /,'c Ba./, dF An r,...r Telephone No. Owner's Address Is this permit In conjunction with a building permit? Yes ❑ No jia (Check Appropriate Box) Purpose of Building Utility Authorization No. Existing Service Amps / Volts Overhead❑ Uadgrd❑ No.of Meters New Service Amps / Volts Overhead❑ Undgrd❑ No.of Meters Number of Feeders and Amp adty Location and Nature of Proposed Electrical Work: am met exciiu, ef„/kd Aur d e &rim_ ti, IJit% RN At' sys>ira.t Are I Ikcs .rail 6410134. Completion of thefollowingtable may be waited by the Inspector of Wires. Total No.of Recessed Luminaires No.of Cel.-Snip.(Paddle)Fans No.of KVA Transformers KYA No.of Luminaire Outlets No.of Het Tubs Generators KVA ch No.of Luminaires Swimming Pool ❑ In- ❑ Ne.ort. y Lighting -.°' grad. brad. Battery units " . �t No.of Receptacle Outlets No.of OS Burners FIRE ALARMS v of les ..y.: "No.of Deteelen a ^' No.of Switches No.of Gas Burners Fling t . ' No.of 1 1+ Ranges No.of Air Cond. o Na.of No.of Waste Paw Number Tons KW^ No.of Self-Coo. . _: -a • ' Totals: Detection/Alet e . No.of Dishwashers SpacefArea Heating KW Local❑ titMeedon lB mer 1 No.of Dryers Heating Appliances KW Security } ,...�--. No.of Systems:* , No.of Water , No.of No.of Data y Beaten Sys Ballasts No.ofDevices or,' , ., ' - No.Hydromassage Bathtubs No.of Motors Total HP T , ' , Na of Devices or `, , - OTHER: Attach additional derail If decirett or os required by the Inspector of Wires. Estimated Value of Electrical Work: 415"00.ob (When required by municipal policy.) Work to Start: /1-/Z-2ozo Inspections to be requested in accordance with MEC Rule 10,and upon completion. 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 ® BOND 0 OTHER 0 (Specify:) I certifil,under the pains and penalties ofperjury,that the information on this application is true and complete FIRM NAME: LIC.NO.: Licensee: );semi ;visires Signaturevevi -7-...•„..,—• LIC.NO.: 5/11Y E (If applicable,enter" t"in the license number line.) Bus.Tel.No.: 509 981 -tutu/y Address: in Wood t44. A.// law -)yA © t AIL Tel.No.: *Per M.G.L.c. 147,s.57-61,security work requires Department of Public Safety"S"License: Lic.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)0 owner 0 owner's agent. Signature Telephone No. I PERMIT FEE:$ Ov.00 I