(207)225-3414
Electrical
Permit Application
Map _________ Lot________ Location
of Work
___________________________________________________________________
Owner(s) Name :
_____________________________________
Address________________________________________________
___________________________________________________________________________________________________________
Date: ___________________________
Permit
#____________________________________________________________________
|
Application Fee |
$10.00 - Plus Listed items |
|
Total |
|
# of Outlets & Fixtures for Additions &
Garages |
|
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|
|
Lights |
|
Disposals |
|
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Receptacles |
|
Dish Washers |
|
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Switches |
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Compactors |
|
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Plug molds ft |
|
Others |
|
|
Strip florescent (ft) |
|
Total of Appliances |
|
|
4 ft = 1 outlet |
|
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Total Outlets &
Fixtures |
|
|
|
|
Services |
|
Miscellaneous ( # of ) |
|
|
New |
|
Vending Machines |
|
|
Single Family Home |
|
Sub Panels |
|
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Modular Single/Double |
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Transformers |
|
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Mobile Single/Double |
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Circus, Fairs |
|
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Multi=per unit Plus main
service |
|
Residential A/C |
|
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Temporary Service |
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Commercial A/C |
|
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# of Meters |
|
Outdoor Signs |
|
|
Upgrades |
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Alarms |
|
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Service No Home |
|
Elevators |
|
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Electrical Heating |
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Repair after Fire |
|
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Residential Electric # of kilowatts |
|
Heavy Duty 220 |
|
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Com/Industrial # of
kilowatts |
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Yard Lights |
|
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Motors # of |
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Emergency Lights |
|
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Fractional ( 1-5 ) 1 HP or
Over |
|
Pools, Hot Tubs |
|
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Appliances (# of) |
|
Three
Phase Service |
|
|
Ranges) |
|
Add
a Phase |
|
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Cook Tops |
|
Elevators |
|
|
Wall Ovens |
|
Sewer
Pumps |
|
|
Clothes Washer |
|
Alterations
to Wiring |
|
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|
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Comments: |
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The undersigned hereby applies for a permit to
make electrical installations in accordance with the Laws of the
State of
Inspection: Work will commence on ___________________________________________________________
Contractor’s Name _________________________________________________________________________
Address __________________________________________________________________________________
Telephone or Cell Number ____________________________________________________________________
Master License Number ______________________________________________________________________
Limited License Number ____________________________________________________________________
_________________________________________________________________________________________
Signature of Contractor
Permits for all new services
commercial/residential must be issued to a licensed electrician.
Electrical permits are not transferable to any other companies or
individuals.
State of
11/07