12-31-19
Building Safety
125 W. Mountain St.
Fayetteville, AR 72701
479.575.8238
permit@fayetteville-ar.gov
Master Building Permit (A/P) Number _________________________________________________________________
*Required if your scope of work is part of a building project*
Owner/Builder/Project Name ________________________________________________________________________
Project Site Address _______________________________________________________________________________
Electrical Contractor _______________________________________________________________________________
If your contact information has changed, please inform a staff member so it may be updated.
Project Details: Residential Commercial Service Provider __________________________
Underground Overhead Service Amperes __________________________
New Addition Alteration Repair/Replace
Description of Work _______________________________________________________________________________
A separate permit is required for Solar Panels or Swimming Pools
Swimming Pool Solar/PV # of panels ____________
Estimated Valuation of Work $ ______________________
Total Number of New Meters _______________________ $ ________________________
First 4 Meters = $20.00; Each Additional Meter = $5.00
Total Number of Openings _________________________ $ ________________________
$0.25 per opening
Total Number of Inspections Under Concrete __________ $ ________________________
$10 per inspection under concrete
Total $ ___________________
(Minimum Fee = $20.00)
This permit becomes null and void if work or construction authorized is not commenced within 6 months, or if construction or work is
suspended or abandoned for a period of 6 months at any time after work is commenced.
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of law and ordinances governing this type of work
will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other
state or local law regulating construction or the performance of construction. I am aware that all new outdoor lighting fixtures, or those that are replaced must
meet the requirements of Chapter 176 Outdoor Lighting. In general, outdoor lighting should be hooded, shielded, and aimed downward. Certain exemptions apply
including single family and two family uses.
Signature ________________________________________________________________________________________
Master Electrician
Electrical Permit Application
click to sign
signature
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