City of Wheeling
DIVISION OF BUILDING INSPECTIONS
ELECTRICAL Permit
Contractor's License Number: Permit Number:
Location: Building Permit Number:
Owner:
Kind of Building: Used As:
Approximate Completion Date: Estimated Cost:
New: Alteration: Repair: Addition:
Item Number Description / Remarks
Ceiling Outlets  
Switches  
Plug Receptacles  
TOTAL OUTLETS  
   
Air Heaters  
Ranges  
Signs  
Water Heater  
Lighting Circuits  
Other Circuits  
TOTAL CIRCUITS  
   
Motors  
Panel Size  
Range Cond.  
Sub Feeder Size  
Temporary Pole Service  
Misc.  
Misc.  
Misc.  
Misc.    
     
  Total Fee: $  
Note:
Contractor's Name & Address:
City: State: Zip:
Ready for Inspection on ____/___/____ or will contact the Inspection Department no later than 24 hours prior to requested inspection.    
Applicant certifies that all information given is correct and that all pertinent Building Codes will be complied with in performing the work for
which this permit is issued.
                 
Signature of Contractor  Code Official
(or authorized representative making application) 234-3601