Pantel Electric 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.

This application is for:

Wiring

Temporary Service

Permanent Service

Electrical Survey

Other

Bill to (Pantel Electric or Ray S. Pantel)

Has this installation been inspected by any other agency?

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

Municipality

County

Owner Name (leave blank if NYSDOT)

Utility Company

Utility Job #

Utility Project Manager (if applicable)

Utility Pole #

Traffic Signal ID

Service Type (leave blank if overhead)

Service Voltage (leave blank if 120/240)

Service Amperage (leave blank if 60A)

No. of Meters (leave blank if 1)

Service Phase (leave blank if single phase)

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)

Other Equipment / Devices (Input Equipment & Quantity)

Additional Information & Comments

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