Electrical Permit Application Form - City Of Bowling Green

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Filing Date: _____________
City of Bowling Green
Electrical Permit Application
Neighborhood and Community Services
Office Use Only
707 E. Main Ave
Please Print Clearly in Ink or Type
PO Box 430
Bowling Green, KY 42102-0430
Phone: 270-393-3676 & 270-393-3615
Permit # EL2016-
Fax: 270-393-3223
PERMIT LOCATION
Permit Address _____________________________ Suite/Unit/Apt __________ Lot # _________ Building # __________
Subdivision _____________________________ Project/Development Name ___________________________________
Property Owner ___________________________
PERMIT TYPE & FEES
Residential Permits
Existing Service
# of Units
Cost Per Unit
Additional Wiring
$50.00
Change of Service or Service Repair
$35.00
Panel Change
$35.00
New Service
# of Units
Cost Per Unit
Apartments <= 100 AMPS
$50.00
Apartments >= 200 AMPS
$65.00
Manufactured or Mobile Homes
$25.00
Single Family, Condo or Townhouses
$100.00
All Temporary Poles
$25.00
Commercial Permits
The permit is for:
Additional Wiring
Change in Service
New Service
Rewire
Is the contract less than or equal to $15,000?
Yes
No
If the contract is equal to less than $15,000, the fee is $75.00. If the contract is greater than $15,000 the fee is $75.00 plus 1% of the
contract in excess of $15,000.
APPLICANT INFORMATION
Electrical Contractor ______________________________________
CE ________________
Master Electrician _________________________________________
ME _______________
Master Electrician Phone __________________
Is this Permit for Fire Damage Repair?
Yes
No
I the Applicant of this Permit do hereby understand the following:
1. I must be properly Licensed by all governing Boards in the City of Bowling Green, Warren County and the Commonwealth of
KY.
2. If this is a Commercial Permit with a Contract price in excess of $15,000, then I will present a copy of the Contract prior to
the issuance of this permit with all additions and/or deletions to the contract price for computation of the cost of this
permit. Any changes to this contract will be presented to this department prior to the final electrical inspection.
3. To the best of my knowledge all information given herein is true.
Signature ____________________________________________________________
Date ______________________________
December 7, 2015
Doc # 601484

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