Download APPLICATION FOR ELECTRICAL PERMIT

For office use only:
APPLICATION FOR ELECTRICAL PERMIT
Permit # ____________________
Sales Doc.___________________
SITE ADDRESS
(Premises)
Fee $ ____________ USR ______
SUBDIVISION*
Paid By_____________________
Lot Number*
* For new construction only
ELECTRICAL CONTRACTOR
Name
License #
Address
Expiration date
Phone with area code
PREMISES OWNER or TENANT (who gets the power bill). Premises owners who plan to do the work themselves must submit a signed
and notarized Affidavit for Owner Electrical Permit with this Application.
Name
Phone with area code
Address
DESCRIPTION OF
ELECTRICAL WORK
GENERAL INFORMATION
Building Use
Type of Building
Single family residence*
Unit sq. ft.*
Duplex*
Residential
Apartment
Commercial/Industrial
Commercial (includes garages/shops)
School/Hospital (plan review required)
Type of Service
Commercial Bid Amount ($)
New
Existing
Overhead
Underground
UGP (underground service from
overhead lines
SERVICE INFORMATION
Voltage & phase
Mobile home
Commercial Low Voltage
Lighting Retrofit *
Building square footage

Amperage of service

SEE TMC 2.04.240 FOR ELECTRICAL PLAN REVIEW REQUIREMENTS
* limited to fixture and/or ballast exchange only
All electrical work will be performed by either the Premises Owner or by a
licensed electrical contractor . Before applying for an electrical permit, you must
pay all engineering and hookup fees for services. These fees will be determined
by New Services Engineering (253-502-8436).
SIGNATURE OF PREMISES OWNER/ ELECTRICAL CONTRACTOR
DATE
By signing this Application, the Electrical Contractor hereby certifies, under penalty
of perjury, that he/she is the duly authorized agent of the Premises Owner.
Print Form
FILL IN THE FORM, PRINT & MAIL,
FAX OR E-MAIL TO:
Tacoma Power
Attention: Electrical Inspection
3628 South 35th St., Tacoma, WA 98409
Fax: 253-502-8659 Phone: 253-502-8277
[email protected]
Unpaid Permit applications will be discarded by
Tacoma Power if payment has not been received
within 10 business days of receipt of application.