Information regarding Proposed State Road 28 West Annexation Close

Monday, March 1, 2021

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Electrical Permit

You are here: Home › Departments and Services › Building Services › Electrical Permit

Please use this form for electrical permit applications.

Property Owner's Name*
First Last
Property Address*
Street Address Address Line 2 City State ZIP Code
Phone*
Fax
Email
Address for Permit
Address*
Street Address Address Line 2 City State ZIP Code
Subdivision or Lot #
Enter the subdivision or lot number.
Use of Structure*
- Residental
- Commercial/Industrial
- Multi-family
- Vacant
Contractor's Information
Name*
First Last

Enter the contractor's name.
Company's Name*
Enter the company's name.
Address*
Street Address Address Line 2 City State ZIP Code
Work Phone*
Enter the contractor's work phone number.
Fax
Enter the contractor's fax number.
Email

Enter the contractor's email address.
Nature Of Work To Be Performed*
- Installation
- Meter Base/Riser
- Repair, Replacement, or Remodeling
- Mobile Home
- Temporary
Select the type of work to be performed.
Phase Required*
- First Choice
- Second Choice
Select the phase(s) required.
Total Amps*
Enter the total number of amps.
Number Of Panel Boxes*
Enter the total number of panel boxes.
Structural Building Permit Issues?*
- Yes
- No
Total Job Cost*
Enter the cost of the completed job.

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