FOR OFFICE USE ONLY
Electrical Wiring Permit
Application
An inspection Call-in for
the service will be
required for connection
SITE
PERMIT
(for inquiries call 1-888-659-3222)
PLAN Review/Registration
Initial
PERMIT TYPE (Chose from the following permit types)
New Service /
Relocate Building
Changeover
(pre-wired)
Disc/Reco
Site
Service
Entrance
Relocate
(no circuit
changes)
If PreFab building show Wiring Permit or CSA#
#231234
Sign
Installation
ELECTRICAL CONTRACTOR (company name)
Sparky’s Electrical Inc.
ELECTRICIAN (on-site)
Gorden Light Switch
Temporary
for Shows
Temporary
for
Construction
Emergency
Repair /
Siding
Installation
LICENCE
TELEPHONE
123456
(506) 111-2222
LICENCE
TELEPHONE
999777
PROPERTY LOCATION (address – House No./Suite/Unit, Street, Municipality)
(506) 222-3333
PID (from building permit)
201 Cadbury Street, Moncton
70607031
BUILDING USAGE (ex. Day Care, duplex, etc.)
BUILDING NAME (ex. Shopping Inc.)
PreFab Homes Inc.
Single Family Dwelling
CONSTRUCTION
New building
Existing building
Over 30 years old residential
Yes
No
DESCRIPTION OF WORK (NEW equipment, feeders, services and branch circuits – ex Heat Pump, Boiler, Furnace, Solar, wind, turbine, fuel cell)
Example 1: Relocate mini-home to a new location
Example 2: Relocate and connect service to a construction trailer
PROPERTY OWNER (Name & address - House No., Suite/Unit, Street, Municipality, province, postal code)
Owner
TELEPHONE
(506) 535-5353
Harry Henderson, 1220 St Merchant Blvd, Miramichi, NB
BUILDING OWNER (Name & address - House No., Suite/Unit, Street, Municipality, province, postal code)
TELEPHONE
OCCUPANCY NAME (ex. Toys Inc.)
FLOOR/SUITE
OCCUPANCY USAGE (ex. Retail store)
MAIN SERVICE INFORMATION (required information for all permit types)
Service
Overhead
Underground
New service OR
Existing service
Volts
120/240
Amps
Phase
100
1
COMPLETE ONLY FOR NEW SUB-METERING OR BRANCH CIRCUITS WITH NO CHANGE TO MAIN SERVICE
Volts
Amps
Ph
Volts
Amps
Ph
Feeder OR
Feeder OR
Sub Meter
qty:_________
Notes
12-
Sub Meter
qty:_________
Items with “
“ are REQUIRED fields. This application will not
be processed if ANY of the REQUIRED fields are missing.
Submit plans stamped by an Electrical Engineer with this Wiring
Permit Application when the new installation is
(a) greater than 600 amperes for a 120/240 volts single phase;
(b) greater than 400 amperes for a 120/208 volts three phase;
(c) greater than 400 amperes for a 347/600 volts three phase; or
(d) greater than 347/600 volts.
2016-04-22
Feeder OR
Sub Meter
qty:_________
Volts
Amps
KVA
Ph
Additional information for Supply Authority
www.nbpower.com
www.edmundston.ca
www.sjenergy.com
www.perth-andover.com
WPA@nbpower.com
energie@edmundston.ca
customer.service@sjenergy.com
info@perth-andover.com
(800) 615-0522
(506) 739-2106
(506) 658-5252
(506) 273-4513
Failure to provide the following information may result in processing delays with the Utility.
SUPPLY UTILITY
NB Power
Edmundston Energy
Saint John Energy
Perth-Andover Electric Light
Commission
Existing Meter Numbers
Utility
Is Supply Authority involvement or scheduling
for connection or reconnection required ?
No
n/a
Yes
NAME AND ADDRESS FOR POWER BILL (Name & address - House No., Suite/Unit, St, Municipality, province, postal):
Calib Manheim, 22 Crystal Lake, Moncton, NB, E1E5R5
TELEPHONE
(506) 545-5656
SPECIFY WORK ORDER NUMBERS (call above utility to obtain it)
ABC123
Are you installing an Electric Vehicle charging station ?
If the owner is a municipal or government agency specify:
CONTACT NAME
Yes
No
Yes
Service fed from Transformer Pad ?
E-MAIL
No
TELEPHONE
*** D e c l a r a t i o n ***
By signing this application I accept responsibility and declare that all the information contained herein is accurate to the best of my knowledge and that I or
a qualified employee under proper supervision will be performing the work in accordance with the Canadian Electrical Code, provincial regulations and
Service Entrance Standards; AND I understand that this application is subject to additional terms and conditions as deemed necessary at the sole discretion
of the inspection department and that special inspection fees can be applied whenever wiring is commenced prior to this permit being issued; AND I further
acknowledge that temporary wiring permits will expire after six month without notice, that all construction points shall be called-in for inspection and that
failure to comply will result in utility services begin delayed or disconnected subsequent to e-mail, mail, or verbal notification.
ELECTRICAL CONTRACTOR SIGNATURE
DATE