Electrical Waiver Form

Customer Support Uncategorised 05 August 2021 Hits: 4025

Electrical Waiver Form

OWNER

Electrical Waiver # (office use only)

Electrical Contractor Name

Property Owner

Street Address

City

State/Province/Region

Postal/Zip Code

Phone

ELECTRICIAN

Name

Phone

Scope of Work

Projected Start Date

APPLICANT

I understand that as no building permit is issued, no renovation, addition, alteration, new construction or change of use is to occur to the structure, building or equipment servicing the building for which the electrical equipment or wiring is being provided. This is not to be considered as zoning approval.

Yes

Firstname

Lastname

By signing here, I agree that I will send an etransfer in the amount of $25 to info@vilsv.ca immediately after I hit submit or send payment to 1131 West Riverside Drive, Perth-Andover, NB, E7H 5G5. Failure to do so will result in this application not being processed.

Approved by: (office use only)

Date: (office use only)

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Approved by

Conditions for approval

Permit #

Electrical Waiver Form