CITY OF LITTLE ROCK
DEPARTMENT
OF PLANNING & DEVELOPMENT APPLICATION FOR:
BUILDING
CODES DIVISION
723
WEST MARKHAM, 2ND FL ELECTRICAL PERMIT
LITTLE
ROCK, AR 72201 PHONE (501) 371-4837 OR (501) 371-4838 FAX: (501) 371-4546
OFFICIAL USE ONLY
PERMIT NO. 2019
APPLICANT (Please Check)
READY WILL CALL
SLAB FINAL
ROUGH OTHER
PROJECT ADDRESS: PROJECT NO.:
OWNER/TENANT____________________________________________
____________________________________________________
ELECTRICAL CONTRACTOR: ________________________________ LICENSE NO. TELEPHONE_________________
SPECIAL INSTRUCTIONS and/or DIRECTIONS
CLASS OF WORK: NEW ADDITION ALTERATION REPAIR TEMPORARY FIRE 2
ND
CONTRACTOR
PROPOSED USE (OCCUPANCY): COMMERCIAL RESIDENTIAL RENTAL SQUARE FEET:
QTY
PRICE
PRICE
26.25
15.75
16.25
26.25
5.40
21.65
5.40
32.50
14.95
5.40
7.55
5.40
16.25
5.40
8.65
5.40
10.85
17.30
5.40
27.05
25.95
32.45
35.70
15.75
54.00
10. 200+/EA 100A 5.40
70.30
15.75
86.50
5.40
5.40
8.65
12.95
7.55
16.20
14.10
19.50
5.40
43.05
23.75
10.85
110-BATTERY BACKED-UP SMOKE DET
21.55
10.85
10.85
12.95
4.30
47. DATA PROCESSING FEE
($5 RES/$7 COMM)
NOTICE: SEPARATE PERMITS ARE REQUIRED FOR GAS, PLUMBING AND HVAC WORK.
I hereby certify that the data submitted on or with this application is true and correct. Any deviation from information contained herein, unless approved by the Building Official will render this
permit null and void.
SIGNATURE OF CONTRACTOR, OWNER OR AGENT DATE
REV 1-19
EMAIL: permits@littlerock.gov