Fillable Permit No. Permit Fee $ Owner of property (City of Spring Hill)

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Permit No. Permit Fee $ Owner of property (City of Spring Hill)

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Y:\City Hall\Community Development\FORMS\PERMIT APPS & HANDOUTS\Electrical Permit.doc Revised 3.3.20
Electrical Permit
Community Development/Planning Dept.
401 N. Madison St., Spring Hill, KS 66083
(913) 592-3657 ● (913) 592-5040 FAX
planning@springhillks.gov ●
Permit No.
Permit Fee $
Electrical Service Fees:
• Up to 200 ampere $50
• Up to 400 ampere $75
• Exceeding 400 ampere $100
Residential Repair or alteration to existing electrical: $50
Commercial & Industrial alteration to existing electrical:
$100
Owner of property
Property Address County: Johnson Miami
Use of building: Zoning
Approximate cost of project (labor and materials) $
Contractor License Information
Company Name
Electrical Contractor Name
Contractor Address City State Zip
Phone E-mail
Johnson or Miami County License #
Service Size (Amps): New Change
Special Conditions:
Describe work to be done:
I affirm that the information provided is true and correct, and I agree to conform to all regulations of the City of Spring
Hill covering this type of work. I state that the work done is performed by the licensed contractor as stated above. I
understand failure to comply with these provisions may result in the revocation of this permit and/or contractor license.
Applicant Name (print)
Applicant Signature Date
ELECTRICAL PERMIT
This electrical permit for the above-described electrical work is hereby approved, subject to all provisions outlined herein, and all
work is performed to the current adopted edition of the National Electrical Code.
Approved By
Date
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Permit No. Permit Fee $ Owner of property (City of Spring Hill)

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Completed 16 July 2020

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