Anne Arundel Application Electrical Permit PDF Details

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QuestionAnswer
Form NameAnne Arundel Application Electrical Permit
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesanne electrical permit, anne arundel county application electrical, anne arundel application electrical, anne arundel county application electrical permit

Form Preview Example

Electrical Permit Application

Permit Center

2664 Riva Road

 

 

Annapolis MD 21401

APPLICANT - Complete all applicable spaces

 

NEW

ADDITION

EXISTING

 

 

Job Location

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Permit No. _________________________________

Street

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Building

 

 

 

 

 

 

Floor

 

 

Suite

 

 

 

Date:

 

 

 

Fee:

Subdivision

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tenants Name

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tax Account #

 

 

 

 

 

 

 

 

 

 

 

Map Reference No.

 

 

 

Building Permit #

 

 

 

 

 

 

 

 

 

 

Block

 

 

 

Parcel No.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

Company Name

 

 

 

 

Name

 

 

 

 

 

 

 

 

O

 

 

O

 

 

 

 

 

 

 

 

Master

 

 

 

 

 

 

 

 

 

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

W

 

 

 

 

 

 

 

 

 

 

 

 

 

 

T

 

 

 

 

 

 

 

 

Mailing Address

 

 

 

 

 

 

 

 

License #

 

 

 

 

 

 

 

 

 

 

 

 

 

R

 

 

 

 

 

N

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

City

 

 

 

 

 

 

 

State

Zip

 

 

 

A

Mailing Address

 

 

E

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

C

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R

Telephone

 

 

 

 

 

 

 

 

T

City

 

 

 

State Zip

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

O

Telephone

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

R

 

 

Description of work

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Total

 

 

 

 

 

 

 

Total

 

Total

E

A

 

Fire Signal Dev

 

 

 

 

 

 

Baseboard Heat

 

 

 

 

 

 

Pool - Bonding

 

N

 

Pool Filter

 

 

 

 

 

 

Lighting Fixtures

 

 

 

 

 

 

Generator

 

Q

D

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Switches

 

 

 

 

 

 

Receptacles

 

 

 

 

 

 

Microwave

 

U

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

I

W

 

50 amp receptacles

 

 

 

 

Fluorescent Fix

 

 

 

 

 

 

30 amp receptacles

 

P

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Service Equip (amps)

 

 

 

 

 

Service Cond

 

 

 

 

 

 

Cooktop unit

 

M

R

 

 

 

 

 

 

 

 

 

 

 

 

 

Oven

 

 

 

 

 

 

Dishwasher

 

 

 

 

 

 

Garbage Disposal

 

E

I

 

 

 

 

 

 

 

 

 

 

 

 

 

 

N

N

 

H20 Pump/Conditioner

 

 

 

 

Water Heater

 

 

 

 

 

 

Furnace

 

T

G

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Air Conditioning

 

 

 

 

 

 

Bath exhaust Fan

 

 

 

 

 

 

Rangehood exhaust

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Sign

 

 

 

 

 

 

Dryer

 

 

 

 

 

 

 

 

Range

 

 

 

 

Paddle Fan

 

 

 

 

 

 

Heat Pump

 

 

 

 

 

 

Wiring Controls

 

 

 

 

Music/Radio/TV Outlets

 

 

 

 

Smoke detectors

 

 

 

 

 

 

Central Vac

 

 

 

 

Speakers

 

 

 

 

 

 

Phone

 

 

 

 

 

 

 

 

Burglar Alarm

 

 

 

 

Data Cable Outlets

 

 

 

 

 

 

Mag Lock System

 

 

 

 

 

 

Elevator

 

 

 

 

Sub-panel (s)

 

 

 

 

 

 

Motor (s)

 

 

 

 

 

 

 

 

Hot tub

 

 

 

 

Transformers

 

 

 

 

 

 

Alt. Energy Source

 

 

 

 

 

 

Heavy up (total amps)

 

 

ADDITIONAL METER

 

 

 

 

 

 

 

 

BGE WMS #_________________

 

TO BE INSTALLED?

FIRE ALARM

 

 

 

 

 

Yes

 

No

DEVICES (NUMBER)

 

 

 

 

 

 

 

 

 

 

 

 

 

MAKE CHECK PAYABLE TO ANNE ARUNDEL COUNTY.

Application approved for permit by:

SignatureDate

I certify and agree as follows: that I am authorized to make this application; that the information is correct; that I will comply with all the regulations of Anne Arundel County which are applicable hereto; that I will perform no work on the above property not specifically described hereon.

Master Electrician Signature

Date

This permit is void six (6) months from the date of issuance unless extended in writing.

NO WORK MAY BE STARTED UNTIL PERMIT IS ISSUED.

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portion of fields in aa county electrical permit

Jot down the information in the Total, Total, Total, E Q U I P M E N T, A N D, W I R I N G, Fire Signal Dev, Pool Filter, Switches, amp receptacles, Service Equip amps, Oven, H PumpConditioner, Air Conditioning, and Sign area.

aa county electrical permit Total, Total, Total, E Q U I P M E N T, A N D, W I R I N G, Fire Signal Dev, Pool Filter, Switches, amp receptacles, Service Equip amps, Oven, H PumpConditioner, Air Conditioning, and Sign blanks to fill out

The software will request particulars to automatically fill up the section I certify and agree as follows, Signature, Date, Master Electrician Signature, Date, and This permit is void six months.

stage 3 to completing aa county electrical permit

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