Town of Mount Olive
Application for Electrical Permit
Date: ________________________
Name of Owner: _____________________________________________
Subdivision/Mobile Home Park Name: ____________________________________________
Lot No: ____________________________________________
Permanent 911 Address: ____________________________________________
Residential: ____________________________________________
Commercial: ____________________________________________
Inspections:
Temporary Pole: ___________ Agricultural Bldg. ____________ Mfg. Home ___________
Power Pole: ___________ Bulk Barn(s): ____________ Residence ___________
Chg. Of Service: ___________ Detached Garage: ____________Accessory Bldg.___________
Add/Renovation: ___________ New Res./T.S. Pole ___________ Billboard Sign ___________
Shop: __________ Transfer Switch: ___________ Other ___________
Commercial: (Total Construction Cost)___________________. Permit Fee: $________________
Late Fee: $ _______________
Total Fee: $_______________
_____________________________________________
Contractor/Owner
_____________________________________________
Signature:
_____________________________________________
_____________________________________________
Address
_____________________________________________
Telephone No. (Office) Cell Phone
_____________________________________________
License No.
Note: Call for inspections at proper stages of work.
Double permit fees – If work is started before the permit is issued.
Application for Electrical Permit
Date: ________________________
Name of Owner: _____________________________________________
Subdivision/Mobile Home Park Name: ____________________________________________
Lot No: ____________________________________________
Permanent 911 Address: ____________________________________________
Residential: ____________________________________________
Commercial: ____________________________________________
Inspections:
Temporary Pole: ___________ Agricultural Bldg. ____________ Mfg. Home ___________
Power Pole: ___________ Bulk Barn(s): ____________ Residence ___________
Chg. Of Service: ___________ Detached Garage: ____________Accessory Bldg.___________
Add/Renovation: ___________ New Res./T.S. Pole ___________ Billboard Sign ___________
Shop: __________ Transfer Switch: ___________ Other ___________
Commercial: (Total Construction Cost)___________________. Permit Fee: $________________
Late Fee: $ _______________
Total Fee: $_______________
_____________________________________________
Contractor/Owner
_____________________________________________
Signature:
_____________________________________________
_____________________________________________
Address
_____________________________________________
Telephone No. (Office) Cell Phone
_____________________________________________
License No.
Note: Call for inspections at proper stages of work.
Double permit fees – If work is started before the permit is issued.
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