HomeMy WebLinkAboutAnnual Electrical Operating Permit Application
City of Maple Ridge Updated Sept 2014
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7311 Fax: 604-467-7461
permits@mapleridge.ca www.mapleridge.ca
Annual Electrical Operating Permit Application
Date:
Name of Establishment:
Address:
Mailing Address (if different):
Contact Person: Phone No: __________________
Electrical maintenance will be performed by A or B
A) Electrical Contractor: _________________________ Licence #_________ Tel: ______________
(Name of) FSR: ___________________ Tel: FSR #:__________ Class: ______
B) Employee FSR: ___________________ Tel: FSR #:________ Class: ______
Contractor Signature:
Volts x Amps x 1.732
For 3 phase service KVA = 1000
KVA= = KVA
Volts x Amps
For 1 phase service KVA = 1000
Number of 3 Phase KVA: _______________ _________ x .15= $
Number of 1 Phase KVA: _____________________________________ x .15= $
Generators Total KW: ______________________________________ x .15= $
Number of Rooms (applicable to educational only) ________ x $7.50=$
Minimum Fee $150.00 TOTAL FEES $
Maximum Fee $2,500.00
Note: All electrical work performed under this permit must be recorded in a log book and kept on site for
Inspection purposes.
Business Owner/Manager Name:
Business Owner/Manager Signature:
OFFICE USE ONLY:
Permit #____________________________________
___________________ ____________________________________
City of Maple Ridge Electrical Inspector Date