Online Application

Please fill out the application below and we will get back to you as soon as possible. If you prefer a fillable PDF version, please click this link to download the form. The fillable PDF form can be filled out with any PDF editing software on your computer or mobile device. You can also print, fill out and scan the form. Please fill the application out as thoroughly as possible and email to info@saselectricalinspection.com. If you have any questions or concerns please call us at 845-801-2172.

* Indicates required field. Please try to fill in every required field. If any required field is unknown, please write the letter U in that field. The system will not allow you to submit the form if a required field is left blank. Thank you for your cooperation, we truly appreciate it.

This application is for:

Residential Wiring

Commercial Wiring

Temporary Service

Permanent Service

Electrical Survey

Other:

Has this installation been inspected by any other agency?*

This field is mandatory

Applicant Name:*

This field is mandatory

Applicant Email:*

This field is mandatory

Applicant Phone Number:*

This field is mandatory

Property Owner Name:*

This field is mandatory

Electrical Contractor / Electrician Name & License Number:*

This field is mandatory

County*

This field is mandatory

Address (Street, City/Twn/Vlg, Zip Code)*

This field is mandatory

Municipality*

This field is mandatory

Section / Block / Lot (SBL):*

This field is mandatory

Permit #:*

This field is mandatory

Building Type (Residential, Commercial, Industrial)*

This field is mandatory

Building Sq. Footage:*

This field is mandatory

Number of Floors:*

This field is mandatory

Sq. Footage Per Floor:*

This field is mandatory

Utility Company & Job Number:*

This field is mandatory

Service Type (Overhead, Underground)*

This field is mandatory

Service Voltage:*

This field is mandatory

Service Amperage:*

This field is mandatory

No. of Meters:*

This field is mandatory

Service Phase (Single Phase, 3 Phase)*

This field is mandatory

Type of Work (New Construction, Remodel, Addition, Service Upgrade, Repair, Service Reconnection, In-Ground Pool, Above Ground Pool, Spa/Hot Tub, Generator, PV System, Auxiliary Building)*

This field is mandatory

Panelboards (Input Quantity)

Checkbox

Motors (Input Quantity and HP)

Other Equipment / Devices (Input Equipment & Quantity)

Additional Information & Comments:

* Indicates required field. Please try to fill in every required field. If any required field is unknown, please write the letter U in that field.

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