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Electrical Permit Application
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Steps
1.
Job Location Information
This section is complete
This section is incomplete
2.
Electrician Information
This section is complete
This section is incomplete
3.
Service, Outlets, Pool, Smoke Detectors
This section is complete
This section is incomplete
4.
Equipment, Heat & A/C Information
This section is complete
This section is incomplete
5.
Control Panel, Low Voltage, Solar Systems Information
This section is complete
This section is incomplete
6.
Additional Item Information
This section is complete
This section is incomplete
7.
Certification of License
This section is complete
This section is incomplete
Job Location Information
Job Location
*
Owner Name
*
Owner's Address1
*
City
*
State
*
Zip
*
Continue
Electrician Information
Electrician's Name
*
Electrician's Trade Name
*
Electrician's Address
*
Address2
City
*
State
*
Zip
Phone
*
Cell
Email
*
City License #
*
State License #
Application Type
*
-- Select One --
Residential
Commercial
Apartment
Description of Work
*
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Service, Outlets, Pool, Smoke Detectors
Services
New under 225 amps ($20 per service)
New over 225 amps to 400 amps ($25 per service)
New over 400 amps to 1000 amps ($30 per service)
New over 1000 amps ($35 per service)
Temporary construction service ($20 per service)
Repair under 225 amps ($20 per service)
Repair over 225 amps to 400 amps ($25 per service)
Repair over 400 amps to 1000 amps ($30 per service)
Repair over 1000 amps ($35 per service)
Number of Services
Work Order Number
Sub-panels (any size)
($15 per sub-panel)
Outlets including switches, receptacles, and lights
Smoke Detectors
Special items
Welders
Special purpose receptacles
Other fixed equipment
($5 per item)
Number of special items
Pool, Hot tub, spas
Above ground pool ($20 per pool)
Inground pool ($50 per pool)
Hot tub ($20 per hot tub)
Spa ($20 per spa)
Number of Pool, hot tubs, spas
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Equipment, Heat & A/C Information
List Equipment
($5 per fixture)
Total Installation Equipment Count
Furnace
Oil
Gas
Electric
($10 per furnace)
Number of furnaces
Boiler
Oil
Gas
Electric
($10 per boiler)
Number of boilers
Electric heat units w/t-stats
($4 per electric heat)
Heat pumps auxiliary heat included
($20 per heat pump)
A/C
Residential
Commercial
Number of A/C Units
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Control Panel, Low Voltage, Solar Systems Information
Control Panels
Fire Alarm
Burglar Alarm
Pumps
Fans
Motors
Lighting
($15 per control panel)
Number of Control Panels
Low Voltage System
Phone/data
TV
Fire Alarm
Security
Audio
Central vac system
Rough-in only (conduit & boxes only)
Other system
($25 per low voltage system)
Number of low voltage systems
Solar System
Residential
Commercial
($30 per system - drawings are required)
Number of solar systems
Others Not listed
($10 per other system)
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Additional Item Information
Number of signs
($25 per sign)
Site lighting
($15 per 10 pole lights)
Transformers, generators, pumps, motors
Transformers
Generators
Pumps
Motors
($15 per item)
Number of transformers, generators, pumps, motors
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Certification of License
If in the opinion of the Electrical Inspector, drawings and specifications are required for this application, I shall furnish such drawings and specifications.
It is the responsibility of the license holder to give 24 hour advance notice to the Planning and Code Administration Department when work is ready for testing and inspections. Failure to schedule inspections for any period of six months following the issuance of this permit will be cause for the permit to become void.
I acknowledge that I have read this application and affirm that the information supplied by myself is correct; and that the owner/tenant of the referenced property has authorized me to do work described herein. I agree to comply with all City Ordinances and State Law regulating electrical work.
Certification
*
I certify that I am properly registered and licensed Master/Restricted Master Electrician
I do not certify that I am properly registered and licensed
License Holder Name
*
Credit Card Information
*
Call License Holder ($10 service processing fee)
Email License Holder
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Receive an email copy of this form.
Email address
This field is not part of the form submission.
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