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Electrical Permit Application
Contractor application form
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Note: Any misrepresentation in the above particulars renders permits issued herein invalid and subject to cancellation or
reassessment of fees, plus penalty. All work shall be in accordance with City Bylaws, Canadian Electrical Code and the
Electrical Safety Act.
City of Maple Ridge Revised 2017-06-24
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7311 Fax: 604-467-7461
Trades Permit Applications: permitapplications@mapleridge.ca Enquiries only at: buldingenquiries@mapleridge.ca
Inspection Requests: inspectionrequests@mapleridge.ca
DATE:
Construction Address: Block/Units:
Applicants Name: Tel
Contractor's Business Name:
(Contractors must have a current Maple Ridge or Intermunicipal Business Licence)
Contractor’s License #: Tel
Email Address:
FSR No.: FSR Name: Class:
Is the home going to contain a: Suite Temporary Residential Unit Finished Basement N/A
Sub Type Classification – Select and Check One Only
Single Family Dwelling Apartment Sign
Garage/Workshop Commercial Temp. Construction Service
Pool Industrial Other
Duplex Institutional
Townhouse Movie Set
Work Type Classification – Select and Check One Only
New Renovation Connection
New w/Bsmt. Finish Repair Low Voltage
New w/Suite Basement Finish Underground: Duct Cable
New w/TRU Tenant Improvement Safety Inspection
Addition Service Change Heat Pump/Air Conditioner
Note: The location of heat pumps & air conditioners must be verified with City staff prior to installation. Other
Description of Work:
Value of electrical work: $ Applicant’s signature:
(Value to include material, fixtures and labour)
Service:
Overhead Underground
Sub Panel:
Yes No Amps:
Electric Heat:
Yes No
Hot Tub/Spa: Yes No Yes No # of Massage Tubs: # of Air Conditioners:
Main Service Switch Rating:
Amps
Volts
Phase
Service conductor
Size:
Conductor Type
CU: AL:
Heating Load:
kW
If addition, existing load:
kW
Additional Load:
kW
Total:
kW
Available Fault Current:
Amps
Designer Name:
Office use only: