Mechanical/Electrical/Plumbing Permit Application

Applicant Name*
First Last
Application Date*
MM slash DD slash YYYY
Owner Information
Owner Name*
First Last
Owner Mailing Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
Owner Phone*
Owner Email*
Project Address*
Street Address Address Line 2 City State / Province / Region ZIP / Postal Code Country
PIN #*
Contractor Information
Electrical Contractor Name*
First Last
Electrical Contractor Phone*
Electrical Contractor License #*
Mechanical Contractor Name*
First Last
Mechanical Contractor Phone*
Mechanical Contractor License #*
Plumbing Contractor Name*
First Last
Plumbing Contractor Phone*
Plumbing Contractor License #*
Other Contractor Name*
First Last
Other Contractor Phone*
Other Contractor License #*
Type of Permit Requested
Electrical Permit Needed?*
List Amperes*
Progress Energy Premise #*
Project Description*
Mechanical/Gas Permit Needed?*
Type?*
BTU Demands*
Size*
Project Description*
Plumbing Permit Needed?*
Pipe Size*
Length*
Project Description*
Attachments
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Owner Information