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2. ELECTRICAL PERMIT

   Please fill form out completely and submit. A permit tech will contact you once the application has been entered and is ready to be paid. Payments can be made over the phone with a credit card but a 2.55% (or minimum of $2) service fee will apply.

6. Property Information
8. Property Address:*
9. Suite/Unit Number:
11. Property Type:*

    1. Residential

    1. Commercial
13. Class of Work:*

    1. New
    2. Addition

    1. Remodel
    2. Solar Panels

    1. Pool
    2. Service Replacement/Repair
15. Solar Panel Plans
    Please attach your solar panel plans for review
19. Owner Information
21. Owner Name:*
22. Address:*
24. City:*
25. State:*
26. Zip:*
27. Phone Number:*
31. Contractor Information
33. Contractor:*
34. Contact Person:*
36. Address:*
37. City:*
38. State:*
40. Zip:*
41. Phone Number:*
42. Email Address:*
46. Permit Information
48. Description of Work:*
50. Fixture Count
    Minimum fee is $20
52. Electric Service:*
53. Total Openings*
54. Hood*
55. Stove*
57. Oven*
58. Disposal*
59. Washer*
60. Dryer*
62. Air Conditioner*
63. 220 Volt*
64. Water Heater*
65. Dishwasher*
67. Garage Door*
68. Service Panel*
69. Electric Blowers*
70. Trash Compactor*
72. Electric Pump*
73. Valuation of Work (commercial only)*
77. Separate permits are required for plumbing, electrical, and mechanical. This permit becomes null and void if work or construction authorized is not commenced with six months, or if construction of work is suspended or abandoned for a period of six months at any time after work is commenced. I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulation construction or the performance of construction.
79. Signature of Owner/Contractor*
    By typing in your name, you are acknowledging that you have the authority to apply for this permit. The name on permit assumes responsibility of the work performed.
80. Date:*
    Date:
Leave This Blank:


82. 1. Receive an email copy of this form.
83. Email address

    This field is not part of the form submission.

84. Submit Submit and Print

* indicates a required field