GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS

Collection: Research & Technical Reports
Sub-shelf: dpnr.vi.gov
Kind: Research Report
Pages: 1
Text: Native Text

Download the original document · Plain text (TXT) · Browse the archive · How this archive works

Original source: https://dpnr.vi.gov/wp-content/uploads/2022/10/Electrical-Permit-Application.pdf

SHA-256 98f8132ca41fa5dc115737d18d768d172eacf5148f10a9057d12ee9b025da0cf

Re-using this document

A public record of the Government of the Virgin Islands, published by the agency itself. No copyright is asserted on it and 17 U.S.C. § 105 does not reach territorial government, so it publishes as a territorial public record.

Our description, tagging, arrangement, extracted text and machine transcripts are released under CC0 1.0. We assert nothing about the document itself.

Archive identifier LF-98f8132ca41f

Document text

GOVERNMENT OF THE UNITED STATES VIRGIN ISLANDS DEPARTMENT OF PLANNING AND NATURAL RESOURCES DIVISION OF PERMITS STX DISTRICT TEL: (340) 773-1082 STT/STJ DISTRICT TEL: (340) 774-3320 APPLICATION for ELECTRICAL PERMIT (Please Print Clearly) Parcel Identification Number (PIN) ___________________________________________________ Class of Work Owner of building: ________________________________________________________________ ☐New ☐ Alteration Owner mailing address: ____________________________________________________________ ☐Addition ☐ Repair Zone: _____________ Use of Building Plot No. ______________ Estate ______________ Quarter ____________ ☐ Private or Rental Dwelling ☐ Store/Warehouse House No. _______________________ Street _______________________ ☐ Restaurant ☐ Bar ☐ Office ☐Other _____ (If Applicable) General statement of the proposed work: __________________________________________________________________________ __________________________________________________________________________________________________________________ __________________________________________________________________________________________________________________ Service Entrance: ☐Existing ☐Proposed Estimated Current _________________ Voltage ☐ 110 ☐ 220 ☐ 440 Type of Structure Conductor Size ___________________ ☐Underground ☐ Overhead ☐Concrete Block ☐Single Phase ☐ Three Phase Number of Meters _______________ ☐Mass Masonry Height of Weatherhead _____________ Number of Dwellings ______________ ☐Frame No. of Distribution Panels ___________ Size of Ground ___________________ List below circuits to be installed: Circuit No. Voltage Wire Type and Size No. of Outlets Other Loads (Please attach additional sheet(s) if extra space is needed). Total estimated cost of proposed work $ _____________________________ Has work started? ___________________ The electrician who will do this work: _________________________________ License No.: ________________________ Signature of Electrician: ____________________________________________ Date Signed: ________________________ Mailing address of Electrician: _______________________________________ Phone No.: _________________________ Note: Permit will be issued in the licensed electrician’s name, who is authorized to do the work on behalf of the owner. DEPARTMENTAL USE ONLY ☐Information requested. Remarks: _____________________________________________________________ E.C.: _____________________________ ☐Permit approved ☐ Permit disapproved __________________________ Inspector ________________________________ Commissioner or Designee DPNR _______________________________ Permit No. _______________________________ Seal and Signature of USVI Licensed Electrician Fee Location of Work