Fillable FORM NO. BI 6 Rev. 1/2020: Application for (City of Virginia Beach)

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FORM NO. BI 6 Rev. 1/2020: Application for (City of Virginia Beach)

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FORM NO. BI 6 Rev. 1/2020
Application for Electrical Permit
CITY OF VIRGINIA BEACH ∙ PERMITS AND INSPECTIONS
2875 Sabre Street, Suite 500 ∙ Virginia Beach, VA 23452 ∙ (757) 385-8070
FAX (757) 385-5777 ∙ www.vbgov.com/buildingpermits
Date: ___________________ Associated Permit #: ______________________
A permit is hereby requested for the following construction at:
Street Address: _________________________________________________________ Lot #/Suite #: _______________________
GPIN: ____________________________________________________________________________________________________
Owner/Occupant Name: ________________________________________________ Owner Phone #: _______________________
Email Address: _________________________________________________________ Cell Phone #: _______________________
Contractor
Company
Name: _____________________________________________ State Registration #: ____________________________
Residential
Commercial - Any service over 800 amps requires review of sealed plans from a Registered Design Professional
Additional Information:
_________________________________________________________________________________________________________
_________________________________________________________________________________________________________
Master Tradesman/Owner Name (Please Print): _________________________ Master Tradesman/Owner Signature: ______________________
I understand this permit is granted only for the work shown and described in this application.
Any falsification, misrepresentation, or misleading information given VOIDS this permit.
Approved By: ____________________________________________ Approval Date: ________________________________________________
Contract Value: $
Building Type: New Addition Existing Moved
Residential Commercial
If building is new, type of heat: Gas Electric
Release Required
Equipment: New Repair Replacement
Extension Relocation
* requires an approved site plan ** indicate service/panel size next to quantity
Qty/Amps
0-30 AMP Circuit
31-60 AMP Circuit
61-100 AMP Circuit
101-200 AMP Circuit
Over 200 AMP Circuit
Boat Slip
Change of Service 1 Phase **
Change of Service 3 Phase **
Conduit
Duct Bank
Generator Circuit *
House Meter 1 Phase
House Meter 3 Phase
Qty/Amps
Overhead to Underground
Permanent Temp. Pole **
Photovoltaic Panel
Pool Bonding
Portable Classroom **
Relocate Meter **
Relocate Panel
Repair Meter
Repair Panel
Replace Meter **
Replace Panel
Rough-in Shell
RV Hookup **
Qty/Amps
Service 1 Phase **
Service 3 Phase **
Service Disconnect
Service Entrance Cable
Sub-fed Panels **
Temporary Pole **
Traffic Signal **
Transfer Switch *
Utility Pedestal **
Virginia Power Inspection **
Qty/Amps
0-30 AMP Circuit
31-60 AMP Circuit
61-100 AMP Circuit
101-200 AMP Circuit
Over 200 AMP Circuit
Boat Slip
Change of Service 1 Phase **
Conduit
Generator Circuit *
Qty/Amps
Overhead to Underground
Photovoltaic Panel
Pool Bonding
Relocate Meter **
Relocate Panel
Repair Meter
Repair Panel
Replace Meter **
Replace Panel
Qty/Amps
RV Hookup **
Service 1 Phase **
Service Disconnect
Service Entrance Cable
Sub-fed Panels **
Temporary Pole **
Trailer Service **
Transfer Switch *
Virginia Power Inspection **
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FORM NO. BI 6 Rev. 12020: Application for (City of Virginia Beach)

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Completed 4 June 2021

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