Electrical Permit

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E
P
LECTRICAL
ERMIT
DIRECTIONS FOR FILING
This application must be completed in full. Failure to complete the application in full and submit three (3) sets of
construction drawings may delay the issuance of your electrical permit. Code.sys Code Consulting, Inc. is under
contract to perform all plan review, if required, and all electrical inspections in Homestead Borough. No other Third Party
Inspection Agency stamped plans or inspections will be accepted. Code.sys Code Consulting, Inc. webpage can be
viewed at
or you may contact their office at (412) 821-0337, ext.39 for additional information.
PROPERTY INFORMATION
Property Address: _______________________________________________________ Zoning District: ________ Ward: _______
Location of Work (space, floor level, suite, etc.):________________________________ Parcel ID: : ________ - _____ - ________
Owners Name: _______________________________________________________________email:________________________
Address: ______________________________________________________________
Phone: (
) ______ - ___________
City: ______________________________ State:______ Zip Code: _____________
Fax:
(
) ______ - ___________
CONTRACTOR INFORMATION
Name: _____________________________________________________________________ email: _______________________
Address: ______________________________________________________________
Phone: (
) ______ - ___________
City: ______________________________ State:______ Zip Code: _____________
Fax:
(
) ______ - ___________
ESTIMATED COST OF WORK: $ _________________________
____________________________________________________
Signature
ELECTRICAL WORK BEING PERFORMED
NUMBER
Outlets
Fixtures
Fractional HP Motors
Temporary Service Panels
amps
Service Panels
amps
Service Panels
amps
Sub-Panels
amps
Sub-Panels
amps
Sub-Panels
amps
Disconnects
amps
Disconnects
amps
Disconnects
amps
Signal Systems
Power Outlets
Motors/Generators
Swimming Pools
Other- please list
Other- please list
Please turn over for fee schedule.
Please note that all permit fees include inspections.
(DO NOT WRITE BELOW THIS LINE - BOROUGH USE ONLY)
Electrical Permit Number: ______________
Electrical Permit Fee: $_______________
Invoice Number: ________________
Scanning Fee:
$_______________
Check Number: _________________
Document Storage:
$_______________
Plan Review Fee:
$_______________
4.00
PA UCC Fee:
$__________
Grand Total:
$_______________
Approved by: _________________________________________________________
Date: ______________________
BUILDING CODE OFFICIAL

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