ELECTRICAL E PERMIT APPLICATION B

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ASBESTOS CERTIFICATION(NAME OF APPLICANT)(ADDRESSES, FLOOR OR SUITE)I ________________________________________ ______CERTIFY THAT THE BUILDING AT______________________________HAS BEEN INSPECTED OR MEETS THE EXCEPTIONS OF SECTON , THE VIRGINIA UNIFORM STATEWIDE BUILDING CODE. THE ASBESTOS ABATEMENT WILL BE DONE AS PER REQUIREMENT OF THE CLEAN AIR ACT NATIONAL EMISSIONSTANDARD FOR THE HAZARDOUS AIR POLLUTANT (NESHAPS) AND OSHA STANDARDS FOR CONSTRUCTION WORKERS .SIGNATURE ________________________________________ _____ABCTHIS IS AN APPLICATION ONLY. IT IS NOT AUTHORIZATION TO START ANY WORK SHALL START UNTIL A PERMIT IS POSTED ON THE JOB ADDRESS (STREET & NUMBER)DCONTRACTOR NAMEHCONTRACTOR STREET ADDRESSJCITYSTATEZIP CODE1!PROPERTY OWNER NAMECFLOOR/ROOM LICENSE TELEPHONE NO. / EMAIL ADDRESS1)CONTRACTOR FAX #OWNER DAYTIME TELEPHONE TYPE1@PROPERTY OWNER ADDRESS/ZIPFCLASS ABCBUILDING INFORMATION1$DESCRIBE CURRENT STRUCTURE USE1^ )IF1 OR 2FAMILY 3!

instructions on filling out an electrical permit application value of work includes labor, materials, subcontracts, overhead and profit. the fee is based on contractor’s estimate or estimate calculated by r.s. means, whichever is higher amount.

  Electrical, Material