Inspection Request

Inspection Request
Permit Number:*
*PERMIT FEE MUST BE PAID IN FULL PRIOR TO INSPECTION REQUEST*
Service Address:*

Street Address

Street Address Line 2

CityProvince

Postal / Zip Code
Electrical Contractor Information:
Electrical Contractor:*
Electrician's Full Name:*

First NameLast Name
Certificate Number:*
Electrician's Phone Number:*
Please enter a valid phone number.
Electrician's Email Address:*
example@example.com
Type of Service:*

ServiceTemp ServiceTrenchRough InFinalSolar Rough InSolar Final
Disconnection Required*

YesNo
Reconnection Required*

YesNo
To Schedule your inspection, please select a date and time that works best for you. After you sumbit your request, we will review our availability and send out a calendar invite with the date and time to the email you have provided above.

If you are requesting a disconnection and reconnection on the same day, please select an inspection time no later than 2:30PM

If the provided time and day are not suitable, please specify your preferred day and time in the comment section. We will make every effort to accommodate your request.
Inspection Date and Time:*
Comments:
I, the undersigned, certify that I am the holder of a valid certificate of qualification in the electrical construction trade, issued under the authority of the Nova Scotia Apprenticeship and Tradesman's Qualification Act. I further certify that the electrical installation will be in conformance with the applicable provincial acts and their regulations, utility standards and related codes. Upon completion, I understand that itis my responsibility to ensure that the installation is working in a safe and proper manner.

Powered by Jotform SignClear
Should be Empty:

Inspection Request

Electrical Contractor Information: