Forms

Industrial Electrical Permit Application

Today's Date * Required
Job Address * Required
Permit No.
Owner Name * Required
Owner Address * Required
Email * Required

To receive an email confirmation
Description of work
General Lighting Number * Required
Sq. ft.x2÷120÷15=no. of general lighting circuits
General Lighting Fee * Required
General Lighting Total * Required
(Number x Fee) (automatically calculated)
Panel Boards Number * Required
Panel Boards Fee * Required
Panel Boards Total * Required
(Number x Fee) (automatically calculated)
Motors (< 5hp) Number
Motors (< 5hp) Fee
Motors (< 5hp) Total * Required
(Number x Fee) (automatically calculated)
Motors (> 5hp) Number
Motors (> 5hp) Fee
Motors (> 5hp) Total * Required
(Number x Fee) (automatically calculated)
Ground Detectors Number
Ground Detectors Fee
Ground Detectors Total * Required
(Number x Fee) (automatically calculated)
Feeders (>600 Volts) Number
Feeders (>600 Volts) Fee
Feeders (>600 Volts) Total * Required
(Number x Fee) (automatically calculated)
Transformers Number
Transformers Fee
Transformers Total * Required
(Number x Fee) (automatically calculated)
Totals
Total Fees * Required
(automatically calculated)
Signature of Applicant * Required
Company Name * Required
Company Address * Required
Inspector
CAPTCHA