Borough of Mount Penn Electrical Permit Application " The Friendly Borough" Permit # E2012



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Borough of Mount Penn Electrical Permit Application

The Friendly Borough” Permit # E2012 - ______________

John A. Becker Municipal Building

200 North Twenty-Fifth Street

Mount Penn, Reading, PA 19606-2091

Phone (610) 779-5151 * Fax (610) 779-5221



MUST BE DISPLAYED IN FRONT WINDOW OF SUBJECT PROPERTY

Property Owner:


Phone #:

Address:


Property Location:


Electrical Contractor:


Address:



Phone #:


NEW ____ ALTERATION ____ ADDITION ___ REPAIR ___

Permit application MUST be accompanied by appropriate electrical plans for ALL NEW construction.

Use of Property: Residential ___ Commercial ___ Industrial ___

Item

Number

Detailed Description of Work to be Performed:

Ceiling Outlets







Switches







Receptacles







TOTAL OUTLETS







Electric Heat







Stove/Oven/Cooktop







Signs




NOTE:

This permit is issued contingent upon all work being in compliance with the 2008 N.E.C. Including all supplement and other applicable Borough regulations.

Applicant certifies that all information given is correct and that all pertinent electrical ordinances will be complied with in performing the work for which this permit is issued.

Contractor shall call 484-955-8419 to schedule ALL required inspections at least 24 HR in advance.

Jobs that require a utility CUT-IN-CARD require a MET ED –DR# to be provided by the Contractor. DR#______________________________

Water Heater




Lighting Circuits




Other Circuits




TOTAL CIRCUITS




Motors




Panels/Load Centers




Service Entrance




Feeders




Total

$

Signature of Applicant

_________________ _____________________ __________________

Job Valuation Application Date Approved to Issue

________________ _____________________ __________________

Permit Fee + $4.00 Issue Date Plans Attached

PA. Education & Training Fee



INSPECTION DATES: ELECTRICAL INSPECTOR SIGNATURE REQUIRED
________________SERVICE ___________________ ROUGH-IN __________________ FINAL

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