Edit Form Owner Information Owner Name* Street Address* City* State* Zip Code* Telephone* Email* Contractor Information Contractor Name* Street Address City State* Zip Code* Phone* Email* Scope of Work Type of Structure* Residential Commercial Industrial Type of Work Being Conducted* New Service Upgrade Existing Service Repair of Existing Service Size of Service* 100 amp 200 amp Other Once this permit is approved, you will receive an e-mail with instructions for payment
