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Application for Trade Permit

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Steps

1. Property and Contractor Information This section is complete This section is incomplete
2. Application Information This section is complete This section is incomplete

Property and Contractor Information

Project Address / Location
Subdivision
Work Performed on:
1. One/Two Family Dwelling
2. Three or More Residential Units
3. Commercial / Industrial
Applicant:
1. Owner
2. Contractor
3. Architect/Engineer
1. Leaseholder
2. Other
Electrical Service
1. Overhead
2. Underground
Contractor
Job Contact
Address
City
State
Zip Code
Phone Number
Email Address
Property Owner
Address
City
State
Zip Code
Phone Number
** MUST ATTACH PROOF OF VALID STATE CONTRACTOR/TRADESMEN LICENSES AND LOCAL BUSINESS LICENSE AT TIME OF APPLICATION **
State Registration #
Class
1. A
2. B
3. C
Expiration
Expiration
Business License Locality
Business License Number
Expiration
Expiration
Type of Permit*
1. Electrical
2. Gas
3. Mechanical
4. Plumbing
Continue

Application Information

Service
1. New Building Service
2. Increase Existing Service
3. Temporary Service
Amps
Phases
Add/Replace
1. Panel
2. Equipment
Add Recep/Circuit/Fixtures
1. 1-25
2. 26-50
3. 51-100
4. 101-200
5. over 200
Value of Job $*
# Outlets / Systems
LP Gas Tanks
1. 0-500 Gallons
2. 501+ Gallons
Value of Job $*
New Construction
1. Gas
2. Electrical
Repair/Addition
1. Heat Pump/AC
2. Furnace/Boiler
3. Gas Pac Combo
4. Burner Conversion
5. Air Handling Units
6. Refrigeration Units
7. Fire Damper
8. Exhaust Fan
9. Air Distribution Boxes
10. Pumps
# of Units/Tons
# of Units/BTU's
Duct Work
Enter Bldg Sq Ft
Commercial/Kitchen Exhaust Hoods
1. Type I
2. Type II
Value of Job $*
New Construction
1. New Residential
2. New Commercial
3. Lawn Irrigation
4. Water Line
5. Sewer Line
6. Fire Line
Repair/Addition
1. Fixtures
2. Water Line
3. Sewer Line
4. Pumps
Number & Type of Fixtures/Lines
Value of Job $*
Detailed Description of Work*
Attach Business License
Attach State Contractor's License
Attach Plans for Review
Applicant Name*