Fillable City Of Newburgh Electrical Permit Application

Fill Online, Printable, Fillable, Blank City Of Newburgh Electrical Permit Application Form

Use Fill to complete blank online CITY OF NEWBURGH (NY) pdf forms for free. Once completed you can sign your fillable form or send for signing. All forms are printable and downloadable.

City Of Newburgh Electrical Permit Application

On average this form takes 10 minutes to complete

The City Of Newburgh Electrical Permit Application form is 1 page long and contains:

  • 0 signatures
  • 7 check-boxes
  • 36 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Newburgh

BROWSE CITY OF NEWBURGH (NY) FORMS

Related forms
Fill has a huge library of thousands of forms all set up to be filled in easily and signed.
Fill in your chosen form
Sign the form using our drawing tool
Send to someone else to fill in and sign.
find another form
 
City of Newburgh
Electrical Permit
Application
Owner/Occupant:
Address:
City: State: Zip:
Phone:
Electrical Contractor:
Address:
City: State: Zip:
Phone: Lic #:
Underwriter:
Occupancy
Type:
Residential
Institutional
Work Type:
New
Building
Renovation
Repair
Item Type
QTY
Item Type
QTY
Temp Service
Switches-Amps
Outlets
Switches-Amps
Fixtures
Switches-Amps
Ranges - KW
Circuits-Amps
Dryers - KW
Circuits-Amps
Signs - Watts
Circuits-Amps
Vent Fans
Welders-KW
Motors - HP
Space Heater
Capacitors-KVA
Water Heater
Transformers-
KVA
Other
Generators-
KVA
Other
Description of Work Including Floors
By signing this application, I hereby certify that all information herein is true and correct,
and I agree to be personally responsible to the City of Newburgh for any and all code
violations and code enforcement associated with this electrical application and the
installation contemplated herein, whether such actions or inactions were performed by me,
my company, employees, contractors or sub-contractors.
Name (Print): ________________________ Signature: ___________________________
NFDEA-01 Issued 9/22/17
Download
Save PDF to desktop
Email
Email completed PDF
Send for Signing
Email for others to sign
Print
Print document
Choose a Field
Click on a field and
select the person that should complete it
Want to add a signature?
You can add a signature field
and assign it to someone else
to sign
Choose a Field
Click on a field and
select the person that should complete it

City Of Newburgh Electrical Permit Application

This document is locked as it has been sent for signing.

You have successfully completed this document.

Other parties need to complete fields in the document. You will recieve an email notification when the document has been completed by all parties.

This document has been signed by all parties.

Completed 14 July 2020

Message

View Audit Log
Print With Audit Log
Duplicate Document