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Electrical Wiring Permit Application

Utility Information

Is electrical utility involvement required on site?


Site Information

Construction
Permit Type
Permanent
Temporary
Disconnect/Reconnect
E-Tag #:
Emergency Repair
E-Tag #:
Other
Quantity:


Electrical Contractor / or Sign Contractor



Electrician / or Sign Installer (on site)

Property Address

Please provide the address:

 
Is this for a Prefab Building?


Owner Information

Property Owner

Does property Owner Address differ from the Property Address?

Please provide the address:

 

Building Owner

Please provide the address:

 
Does the occupancy owner differ from the building owner?

Occupancy Owner

Please provide the address:

 


Service Information

Overhead/Underground
New Service/Existing Service
Phase
Meter Mounted Device
Generator Transfer Switch Installed

Complete only for new sub-metering, branch circuits with no change to main service



Feeder/Sub Meter Quantity Volts Amps Phase




Energy Device

If this permit will apply to any of the following devices, please provide the requested details:

Device
Generation
Solar PV - Capacity (kW)
Wind - Capacity (kW)
Hydro - Capacity (kW)
Fossil Fuel - Capacity (kW)
Other - Capacity (kW)
Electrical Vehicle/Charger
Level Two - Capacity (kW)
Level Three - Capacity (kW)
Storage/Battery
Maximum continuous power - Capacity (kWh)
Total usable energy - Capacity (kW)