ELECTRICAL PERMIT APPLICATION
76 West 6th Street, Pennsburg, PA 18073 Office: 215-679-4546 Fax: 215-679-5140
Owner______/ Contractor:______
Address:______/ Address:______
______/ ______
Phone:______/ Phone: ______
Cost of work:______/ Registration #: ______
Location of work: ______
Building type: £ Residential £ Commercial £ Industrial
Type of work: £ New £ Alteration £ Repair £ Other
Fixture / Number / Fee
Smoke Detectors
Switches
Plug Receptacles
Water Heaters
Dryers
Baseboards
Pool Pumps
Spas
Heaters
Lighting Circuits
Panel Size
Sub Feeder Size
Ranges
PA UCC & Administrative Fees / $9.00
TOTAL FEES
All commercial electrical work must be inspected by an electrical underwriter prior to a Pennsburg Borough inspection. All work is to comply with the 2009 ICC Codes. It is understood and agreed by this application that any error or misrepresentation of materials contained in this application may constitute grounds for revocation of this permit.
Applicant:______Date:______
Building Official:______Date:______Permit #:______