ELECTRICAL
PERMIT
Permit
#
________
Fee
____________
Date
____________
OWNER
INFORMATION
Owner
Name:__________________________________________________________________________________________
Address:_______________________________________________________
City:_________________GA
Zip:___________
Phone:___________________________Email:_______________________________________________________________
Address
of
project:
_____________________________________________
City:_____________________GA
Zip:_________
Subdivision:__________________________________________________
Lot
#:
_________________
Parcel:
____________
Main
Contact:__________________________________________________________________________________________
Address:_____________________________________________________
City:_________________GA
Zip:______________
CONTRACTOR
INFORMATION
(Copy
of
business
license
and
certification
card
if
applicable
must
be
provided.)
OFFICE
USE
ONLY
PROPERTY
INFORMATION:
Name
of
Company:
_____________________________________________________________________________________
WORK
PERFORMED
New
Service..........Number
of
Amps:
_______
Rewire....................Number
of
Amps:
_______
Reconnection..........Number
of
Amps:
_______
Other......................Number
of
Amps:
_______
Business
License
#______________________________________
State
License
#____________________________________
Contact
Phone:____________________________________
Email:________________________________________________
METER
BASE
(check
if
applicable)
Replace
with
same
size
Upgrade
Relocate
Convert
from
overhead
to
underground
Convert from
single
phase
to
three
phase
Change
to
meter
base/disconnect
combination
ENTRANCE
CABLE (check
if
applicable)
Replace
with
same
size
Upgrade
wire
size
Replace
weather
head
Service
Change.....Number of Amps: _______
Swimming
Pool......Number of Amps: _______
Dock.......................Number of Amps: _______
SWITCH
PANEL/DISCONNECT
BREAKER
(check
if
applicable)
Replace with same size
Upgrade
Change
from
fuse
type
to
breaker
panel
Wire
in
outside
disconnect
to
existing
meter
base
TOTAL
AMPS
_________
≤400
amps:
$50
>400
amps:
$100
+
$0.20 per
amp
over
400
amps
Rayle
EMC
Walton
EMC
Georgia
Power
POWER
COMPANY
Printed
Name
of
Applicant:________________________________________________________________________________
Signature
of
Applicant:________________________________________________________
Date:
______________________
RESIDENTIAL
Greene County Building and Zoning Department
1034 Silver Dr., Ste 103, Greensboro, GA 30642 - Telephone (706) 453-3333 - FAX (706) 453-2579
www.greenecountyga.gov/building
Chuck Wooley
Building Official
