Seven Fields, PA · Butler County
Electrical Inspection Application
Property owners or applicants use this application to request an electrical inspection and provide details about the location, work, and electrical equipment.
What this form is
This application records information for an electrical inspection, including the property location, owner and applicant details, building occupancy, work area, and type of work. The applicant marks the applicable electrical equipment and inspection information, and signs to confirm agreement with the terms on the reverse side. The form also includes sections for inspection results and payment details.
Who needs it
An applicant requesting an electrical inspection for a property in Seven Fields should complete this application with the requested location and electrical work details.
How to submit it
Make four copies for MDIA use only, as directed on the form. Make any fee payment payable to M.D.I.A.; the form lists a phone number and fax number for Middle Department Inspection Agency, Inc.
About notarization
This document is signed and dated without a notary; it does not identify any attachment or related step that must be notarized or sworn.
How to submit this form
- 1
Download The Application
Download the Electrical Inspection Application PDF.
- 2
Complete The Applicant Section
Enter the requested date, property and applicant information, and details about the electrical work and equipment.
- 3
Review And Sign
Read the terms on the reverse side, then sign and date the application.
- 4
Prepare Copies And Payment
Make four copies for MDIA use only. If paying a fee, make it payable to M.D.I.A.
- 5
Submit The Application
Use the submission instructions provided by the city or MDIA; the form lists MDIA's phone and fax numbers.
Frequently asked questions
- Do I need a notary for the Electrical Inspection Application?
- No. The application has an applicant signature and date field, but no notary block or sworn attachment is identified.
- How do I submit the Electrical Inspection Application?
- The form says to make four copies for MDIA use only and to make any fee payment payable to M.D.I.A. It lists MDIA's phone and fax numbers.
- What information does the application request?
- It asks for property and applicant details, occupancy and work-area information, the type of work, electrical equipment details, and inspection and payment information.