City of South Bend and St. Joe County Electrical Permit

City of South Bend and St. Joe County Electrical Permit
Please be advised:
- If applying for a duplex or a multi-unit building, please complete separate applications for each unit
- Payment for permit can be completed in-person at City Hall with a company card or check and can't be made over the phone
- Receipt of application does not mean a permit has been issued
- If work has been started without a permit being issued, fines may be issued

About You
Who are you filing this application as?

I'm the property owner, and I'm completing the work myselfI'm the contractor, and I've been hired to complete the work
About Property and Property Owner
Property Owner Name*

First NameLast Name
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Email*
example@example.com
Project Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is the mailing address the same as the project address?*

YesNo
Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
About Project
Is this part of any renovation work or construction project?*

YesNo
Construction Permit Number
Electric Utility

AEPNIPSCOMarshall County REMCKankakee County REMCWalkertonMishawakaOther
Temporary Services*
Temporary power poles or panels for construction sites
Electrical Panels*
Main panels, sub panels, and switchboards — new installations or replacements.
List amperage rating and number of panels at each rating*
Is an exterior service disconnect being installed?*

YesNo
Circuits*
Total count of new or replaced circuits — each individual circuit counts as one
Machinery Horsepower*
Total combined horsepower of motors and machinery being connected — HVAC equipment, shop tools, elevators, etc.
Backup Generators*
List generator size for each generator*
As part of the work, are you going to be installing a gas line greater than 10ft?*

YesNo
For gas line installations greater than 10ft an HVAC contractor will need to be hired
Any pool wiring?*

YesNo
Any changes to existing service or branch circuit wiring?*

YesNo
Any resets, relocations, or reconnections?*

YesNo
Any other electrical work?*

YesNo
Description of Work and Quantity*
AEP Work Order Number
Note: If service provider will be involved to connect electrical service, an additional $60.00 reconnect fee will be charged.
About Contractors
Company*
Contractor Name*

First NameLast Name
Email*
example@example.com
Phone Number*
Please enter a valid phone number.Format: (000) 000-0000.
Terms and Conditions
By typing my name in the boxes below, I agree that I'm electronically signing this form. I affirm that the information that I've provided is accurate and true to the best of my knowledge. I understand that my electronic signature is legally binding and equivalent to my handwritten signature.
Name*

First NameLast Name
Date*

MonthDayYear
Hour MinutesAM/PM Option
Filer Email
example@example.com

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City of South Bend and St. Joe County Electrical Permit

About You

About Property and Property Owner

About Project

About Contractors

Terms and Conditions

We Would Love Your Feedback!