Applicant
Address
Phone
Alt Phone
Contractor
Contractor Address
Contractor Phone
Contractor Alt Phone
Single Family Residence
Multiple Residences
(qty)
Non Residential
New Construction
Addition
Renovation
Accessory Structure
Pool
New Service
Met Ed DR#
Temporary
Permanent
Service Size (if applicable) Voltage
Amperage
Phase
Gauge
Metal
Grounding Electrode System
Emergency Generator Voltage
Size
Heat Pump
Qty
Air Conditioning
Qty
Baseboard
Qty
Clothes Dryer
Qty
Range
Qty
Water Heater
Qty
Fire Detection System
Quantity of Detectors
Is a set of electric plans included with this or with the building application?
Brief description of all proposed work:
Inspections per code are required. Amity Township Electrical Inspectors must inspect all work.
General Information (Check all that apply)
Service wire size and type
Provide the following information in volt-amperes from the nameplate of all new equipment:
I understand that it is my responsibility to schedule the required inspections listed on the back of the Building Permit weather card and I may not proceed with subsequent work until the inspector has approved each required inspection.
Date
E Mail
Amity Township Electrical Permit Application