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

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 [phone] * Fax [phone]

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