HomeMy WebLinkAboutElectrical Contractor Autherization for Filming.pdfCITY OF MAPLE RIDGE
ELECTRICAL CONTRACTOR AUTHORIZATION
FOR FILMING
INSTALLATION
Permit Number: (Office Use Only)
Production Co. Project Name
Film Location Street No. Film Location Street Name:
Site or Location Name if applicable (Business Name, Park, Facility, Residence, etc.):
Circus Location:
REGISTERED ELECTRICAL CONTRACTOR INFORMATION
Registered Electrical Contactor (EC) Name (please print) MUST BE ON-SITE DURING INSPECTION
Registration No.
Telephone
Fax
DECLARATION ELECTRICAL CONTRACTOR TO THE ELECTRICAL INSPECTION OFFICE
Registered Representative Reg. No. (RR) Reg. Rep. Classes
I, , a registered representative for the above
production company, will physically inspect the electrical work completed under the above mentioned permit,
and hereby certify that the electrical installation authorized thereby will be installed to comply with the
Electrical Safety Act and Regulations of British Columbia.
Registered Representative (RR) Signature
Date year month day
Generator Set Up Date Date year month day
Type of Grounding Electrode ❑ ROD ❑ PLATE
# of Generators List Individual KVA
All electrical work will be completed on set up date and the final inspection is requested
Remarks
� CITY OF MAPLE RIDGE CITY HALL HOURS FILM PRODUCTION LIAISON
� � • �
11995 Haney Place Monday- Friday MargJohnson
Maple Ridge, BC Canada 8am - 4pm T: 604-467-7488
V2X 6A9 E: mjohnson@mapleridge.ca