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Electrical

This document is an application for an electrical permit from Arlington County, Virginia. It requests information about the job site, contact details, description of work, types of electrical work and equipment involved, estimated costs, certification and notes about permit validity. Specifically, it asks for the job address, contact information for the permit holder, contractor and property owner. It requires the applicant to describe the type of building, electrical work and classification of that work including details of circuits, fixtures, appliances and equipment. It must be signed and certified by the applicant.

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42 views1 page

Electrical

This document is an application for an electrical permit from Arlington County, Virginia. It requests information about the job site, contact details, description of work, types of electrical work and equipment involved, estimated costs, certification and notes about permit validity. Specifically, it asks for the job address, contact information for the permit holder, contractor and property owner. It requires the applicant to describe the type of building, electrical work and classification of that work including details of circuits, fixtures, appliances and equipment. It must be signed and certified by the applicant.

Uploaded by

Jprince1920
Copyright
© Attribution Non-Commercial (BY-NC)
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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Arlington County, Virginia Department of Community Planning, Housing and Development Inspection Services Division

Arlington County, Va./Applications/ISD/00-000/05-08

ELECTRICAL PERMIT APPLICATION


Customers Information
Job Address
Check applicable permit holder box

Important: Applicant to complete all non-shaded areas and mark or circle where applicable. Important: Applicant must fill ALL four (4) sections A, B, C, and D of this application. Failure to do so may result in rejection and/or delay of the reviewing process.
Number and street suite Floor Phone at site if available

Do not write here


Permit Number

E
Relevant Building Permit.

Name

Number and Street

City

Contractor Legal Owner Tenant Name (If applicable)

State

Zip

State License Number

Arlington License Number

Phone

B
Total Fees Estimated Cost

Name

Address

Phone

Name

Number and Street

Phone

Job Description

Building Type Type of Work


______ ______ ______

Single Family New


1601 to 3000 Amps. Over 3000 Amps. Temp. Power ( TPF including Sub-Metering)

Town house Addition to Building

Commercial

All Other Alteration


______ ______ ______ ______ ______ ______ Dryer Furnace Range Water Heater Electric Heat Kw. ______ Commercial Cooking Appliances

Classification of Work
QTY ______ ______ ______ ______ ______ ______ ______

Systems Furniture
______ Cubicles count

Description
Circuits Fixtures, Switches, Receptacles Receptacles over 20 Amps Indoor Signs Outdoor Signs Temporary Installation Disconnects

Miscellaneous
______ ______ Swimming Pools Com. Preventive Maintenance

______

Sub Panels

Motors
______ ______ ______ ______ ______ ______ to 5 HP 6 to 25 HP 26 to 50 HP 51 to 75 HP Over 75 HP Other

Other Elec. work (describe)


____________________________________ ____________________________________

Generators
______ ______ 1 to 50 Kw Over 50 Kw

Fixed Appliances
______ ______ ______ A/C Heat Pump Dish Washer Disposal

Service Equipment
______ ______ Up to 500 Amps. 501 to 1600 Amps.

Transformers
______ ______ 1 to 50 KVA Over 50 KVA

Certification
Signature of Applicant

I hereby certify that I have the authority to make the foregoing application, that the application is correct, and that the construction will conform to the regulations in the Current adopted Virginia Uniform Statewide Building Code, the Zoning Ordinance, and Arlington County codes Address Name (print) Date Phone

NOTE: This permit shall become invalid if the authorized work is not started within six (6) months from the date issued, and/or if the authorized work is suspended for a period of six (6) months after the time for commencing the work. If no work has begun, the permit may be returned within six (6) months with a request for cancellation and a refund for the portion of the work which was not completed.

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