MASTER PERMIT __________________________ DATE __________________________
OWNER NAME ____________________________ ADDRESS ______________________
Base Permit Fee: $30.00
Service Entrance or
Switch
100 amp or less _____
125-200 amp _____
225-400 amp _____
450-600 amp _____
700-800 amp _____
1000 amp & up _____
Feeder Circuits
60 amp or less _____
70-100 amp _____
125-200 amp _____
225-400 amp _____
450-600 amp _____
700-800 amp _____
800-1000 amp _____
Distribution/Sub Panel
60 amp or less _____
125-200 amp _____
225-400 amp _____
450-600 amp _____
600 amp or less _____
Branch Circuits
Quantity _____
Major Appliances
Circuit
Refrigerator _____
Freezer _____
Range Top _____
Wall Oven _____
Elec. Oven _____
Range _____
Clothes
Washer _____
Elec. Water
Heater _____
Clothes Dryer _____
Dishwasher _____
Disposal _____
Compactor _____
Vacuum Pump _____
Attic Fan _____
Window A/C _____
Bathroom
Sp. Heater _____
Motor Installation
Fractional to 1 HP ____
1.5.3 HP ____
3.5-5 HP ____
7.5-10 HP ____
15-25 HP ____
30-100 HP ____
125-200 HP ____
200 HP & up ____
Commercial Major Appliances
Self-Cont. Ref. _____
Self-Cont. Freezer _____
Self-Cool Ice Maker _____
Electric Warmer _____
Drink Dispenser _____
Electric Grill _____
Electric Fryers _____
Electric W/H _____
Comp. Gas Dis. _____
Gasoline Dis. _____
Signs & Outline Lighting
First 10 lights _____
10 lights ÷ _____
Transformer or
Ballast _____
T-Pole _____
Correct Wiring _____
X-ray Equipment _____
Welder _____
Generators, Transformer,
Elect Heater, Elect Welder
Less than 1 kw _____
1.5 – 2 kw _____
5-10 kw _____
10-25 kw _____
100-200 kw _____
200 kw + _____
Company ______________________ Signature ______________________
Check/Cash ____________________ Other Info _____________________
License No. ____________________
APPLICATION FOR ELECTRICAL PERMIT
CITY OF GULFPORT
URBAN DEVELOPMENT – BUILDING CODE SERVICES
1410 24
th
Avenue
Gulfport, MS 39501