Electrical Permit Application Form PDF Details

If you are a business or homeowner in need of an electrical permit, the City of _____ provides an official application form to help simplify the process. The form can be filled out and submitted electronically, or in person at the City Hall. In order to apply for a permit, you will need to provide specific information about your project, such as the type of electrical work that will be done and the address of the property. There is a modest fee associated with obtaining a permit, and once it is approved, work on your project can begin. For more information on how to apply for an electrical permit in _____, please visit our website. Thank you for choosing us as your source for all things municipal!

QuestionAnswer
Form NameElectrical Permit Application Form
Form Length1 pages
Fillable?No
Fillable fields0
Avg. time to fill out15 sec
Other namesMETERUSE, INSTALLATIONSUSE, TIME7, CONSTRUCTION301

Form Preview Example

ELECTRICAL PERMIT APPLICATION PERMIT #:_____________________________________

Missoula County Building Inspection Division

 

 

TYPE:

6089 Training Drive, Missoula, MT 59808

ISSUE DATE:_______________________________

 

 

 

 

DATE:

Office: (406) 258-3701 / Fax: (406) 258-4864

 

 

 

 

 

 

www.co.missoula.mt.us/building

 

 

 

 

 

 

 

 

INSTRUCTIONS

TYPE OR PRINT CLEARLY USE BLACK OR BLUE INK

- NO PENCIL-

The applicant must fill out sections I, II, III and IV. Your permit will not be processed if you do not fill out the required information. Please read all conditions on this application before signing. The property owner and/or licensed contractor must sign and date the application. If not applicable please write N/A (do not leave blank). When filling out addresses, please include St., Ave., Rd., Dr., etc. and zip code. A separate permit application is required for each building or structure except townhouses or commercial tenant spaces where each unit requires a permit.

SECTION I: PROPERTY INFORMATION

LOCATION

PROJECT ADDRESS:_________________________________________

CITY:

 

 

 

 

ZIP CODE:

 

 

 

 

 

 

 

 

 

 

 

 

BLDG #:

 

SUITE #:

UNIT #:

APT #:

 

 

 

 

 

 

 

 

 

 

MOBILE HOME PARK NAME (IF APPLICABLE):

BUILDING OR STRUCTURE USE (CHECK ONLY ONE, BELOW):

 

 

RESIDENTIAL

 

 

SINGLE FAMILY

DUPLEX

TOWNHOUSE

MULTI-FAMILY

UNITS

STORAGE BUILDING DETACHED GARAGE

OTHER

 

 

COMMERCIAL / NON-RESIDENTIAL

 

CHANGE OF USE:

YES ____

NO ___

 

 

SPECIFY USE:

BUSINESS NAME (IF APPLICABLE):

PROVIDE BUILDING PERMIT # FOR COMMERCIAL PROJECTS:

 

SECTION II: PEOPLE INFORMATION

 

 

 

PROPERTY OWNER

 

 

 

 

 

 

 

 

 

NAME

 

 

PHONE #

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

 

CONTRACTOR —— SAME AS OWNER

 

 

 

 

 

 

 

 

BUSINESS NAME

 

 

PHONE #

 

 

 

 

 

 

 

 

STREET ADDRESS

 

 

 

 

 

 

 

 

 

 

 

CITY

 

STATE

ZIP CODE

 

 

 

 

 

 

 

 

STATE LICENSE #

 

 

 

 

 

 

 

 

 

 

 

TENANT

 

 

NAME

PHONE #

 

 

SECTION III: PROPOSED WORK

PROJECT DESCRIPTION (DESCRIBE ONLY THE WORK THAT REQUIRES THIS PERMIT):

CONDITIONS

It shall be the duty of the person doing the work authorized by a permit to assure that all required inspections are scheduled 24 hours in advance and approved by the County Inspectors. Furthermore, it shall be the duty of the person requesting the inspection to provide access to and means for inspection of the work.

A homeowner may secure a permit for and may wire only his own buildings used only for his own use. Buildings used as rentals, businesses, etc., and all contract work must be wired by a licensed electrical contractor using only licensed electricians.

This permit was not reviewed for compliance with zoning, floodplain or conditions of subdivision approval. You are advised to contact the Office of Planning and Grants at 258- 4657 for additional permitting information prior to initiating your project.

The individual who signs this application assumes all responsibility and liability for the work performed as specified herein.

SIGNATURE OF PROPERTY OWNER

DATE

 

 

SIGNATURE OF ELECTRICAL CONTRACTOR

DATE

SECTION IV: PERMIT FEES

1. SINGLE FAMILY DWELLING

 

 

 

 

TYPE OF WORK

 

FEE

 

 

 

 

 

NEW CONSTRUCTION—100 TO 300 AMP SERVICE

$178.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW CONSTRUCTION—301 AMP SERVICE OR MORE

$412.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

NEW ADDITION TO, REMODEL OR INTERIOR REWIRE OF EXISTING

$83.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CHANGE OR UPGRADE SERVICE—METER AND/OR BREAKER PANEL

$52.00

 

 

 

 

(1)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MISCELLANEOUS RESIDENTIAL WIRING (LABOR AND MATERIALS NOT

$31.00

 

 

 

 

 

TO EXCEED $50.00)

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

MISCELLANEOUS

RESIDENTIAL WIRING (LABOR AND MATERIALS

$62.00

 

 

 

 

 

OVER $50.00 BUT NOT ADDITION, REMODEL OR INTERIOR REWIRE)

 

 

 

 

 

 

 

 

 

 

 

 

FOR MOBILE HOME, MANUFACTURED HOME, MODULAR HOME, OR

 

BELOW

 

 

 

 

 

TRAVEL TRAILER—USE #5

 

 

 

 

 

 

 

 

 

 

 

 

 

2. DUPLEX

 

 

 

 

 

 

 

 

 

NEW CONSTRUCTION—ANY CAPACITY SERVICE

 

$370.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

ANY OTHER INSTALLATIONS—USE #7

 

BELOW

 

 

 

 

 

 

 

 

 

 

 

 

 

3. MULTI-FAMILY DWELLING (3 TO 12 UNITS)

 

 

 

 

 

 

 

NEW CONSTRUCTION—ANY CAPACITY SERVICE

 

$206.00

 

 

 

 

 

* PLUS $53.50 PER UNIT (3)

 

 

 

 

 

 

NEW CONSTRUCTION OF MULTI-FAMILY DWELLINGS OVER 12 UNITS

 

BELOW

 

 

 

 

 

OR ANY OTHER INSTALLATIONS—USE #7

 

 

 

 

 

 

 

 

 

4.DETACHED RESIDENTIAL ACCESSORY BUILDING (GARAGES, SHEDS, BARNS, ETC.)

 

 

NEW CONSTRUCTION / EXISTING UNWIRED—UP TO 200 AMP SERVICE

$83.00

 

 

 

 

 

 

NEW CONSTRUCTION / EXISTING UNWIRED—201 TO 300 AMP SERVICE

$206.00

 

 

 

 

 

 

NEW CONSTRUCTION / EXISTING UNWIRED—301 AMP SERVICE OR

$268.00

 

 

MORE

 

 

 

NEW CONSTRUCTION—ANY CAPACITY BRANCH SERVICE FROM

$31.00

 

 

PRIMARY STRUCTURE (IF WIRED AT SAME TIME AS PRIM. STRUCTURE)

 

 

 

NEW ADDITION TO, REMODEL OR INTERIOR REWIRE OF EXISTING

$83.00

CHANGE OR UPGRADE SERVICE—METER AND/OR BREAKER PANEL(1)

$52.00

 

 

MISCELLANEOUS RESIDENTIAL WIRING (LABOR AND MATERIALS NOT

$31.00

 

 

TO EXCEED $50.00)

 

 

 

 

 

MISCELLANEOUS RESIDENTIAL WIRING (LABOR AND MATERIALS OVER

$62.00

 

 

$50.00 BUT NOT ADDITION, REMODEL OR INTERIOR REWIRE)

 

 

 

5.MOBILE HOME, MANUFACTURED HOME, MODULAR HOME, OR TRAVEL TRAILER

 

LOCATED INSIDE OF A COURT WITH AN EXISTING SERVICE (FEEDER

$52.00

 

 

ONLY—SERVICE UPGRADE NOT INCLUDED)

 

 

 

 

 

LOCATED OUTSIDE OF A COURT WITH AN EXISTING SERVICE (FEEDER

$52.00

 

 

ONLY—SERVICE UPGRADE NOT INCLUDED) (2)

 

 

 

 

 

LOCATED INSIDE OR OUTSIDE OF A COURT WITH A NEW SERVICE OR

$83.00

 

 

SERVICE UPGRADE (INCLUDES FEEDER IF DONE AT SAME TIME)

 

 

*

 

 

(2) FOR NEW SERVICE OR SERVICE UPGRADE ONLY AT METER—USE #6

 

 

 

 

 

 

 

 

NEW MOBILE HOME COURTS AND/OR RECREATIONAL VEHICLE PARKS

 

 

 

PER SPACE, FOR THE FIRST THREE SPACES. ADDITIONAL SPACES

$31.00

 

 

INSTALLED AT THE SAME TIME—$7.00 PER ADDITIONAL SPACE. (3)

 

 

 

 

 

 

CHANGE OR UPGRADE SERVICE—BREAKER PANEL ONLY (1)

$52.00

 

 

 

 

 

 

DISPLAY HOMES AND MOBILE OFFICES—USE #7 (2)

BELOW

 

 

 

 

 

 

6. SPECIAL INSTALLATIONS

 

 

 

IRRIGATION WELLS, LIVESTOCK WELLS, ETC. (INCLUDES NEW

$83.00

 

 

SERVICE & FEEDER FOR EQUIPMENT IF DONE AT SAME TIME)

 

 

 

 

 

IRRIGATION PUMP, MACHINES OR OTHER OUTDOOR EQUIPMENT PER

$73.00

 

 

UNIT (ONE PUMP AND/OR ONE PIVOT)

 

 

 

 

 

TEMPORARY CONSTRUCTION SERVICE (2)

$52.00

 

 

 

 

 

 

STEP SEWER SYSTEM

$73.00

 

 

 

 

 

The Electrical Permit fee for all other installations (commercial, industrial, institutional, public use, or for which a fee is not listed above) shall be based on the project cost according to the schedule below. The project cost shall be the cost to the owner of all labor and material used in the installation. Please round project cost to the nearest hundred prior to using fee schedule.

7. COMMERCIAL, NON-RESIDENTIAL & OTHER

 

 

 

$0 TO $500

$57.00

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

$501 TO $1,000

$57.00 FOR FIRST $500 PLUS 8.0% BALANCE OF THE PROJECT

 

 

 

 

 

 

 

 

 

 

 

 

$1,001 TO $10,000

$120.00 FOR FIRST $1,000 PLUS 3.0% BALANCE OF THE PROJECT

 

 

 

 

 

 

 

 

 

 

 

 

$10,001 TO $50,000

$470.00 FOR FIRST $10,000 PLUS 0.7% BALANCE OF THE PROJECT

 

 

 

 

 

 

 

 

 

 

 

 

$50,001 OR MORE

$888.00 FOR FIRST $50,000 PLUS 0.4% BALANCE OF THE PROJECT

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

1

 

CAPACITYSERVICE

 

NUMBER OF AMPS EXISTING

 

NUMBER OF AMPS PROPOSED

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

2

 

NUMBER OF UNITS IN MULTI-FAMILY DWELLING

 

 

 

 

 

 

 

 

OR NEW SPACES IN MOBILE HOME COURT:

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

SECTION V: FEES

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

PROJECT COST

 

PENALTY FEE

 

 

TOTAL FEES

 

 

$

 

 

 

 

$

 

 

 

$

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

CASH

CHECK # CREDIT/DEBIT CARD

 

__________

(REVISED 10/01/2011)

 

How to Edit Electrical Permit Application Form Online for Free

You could prepare INSTALLATIONSUSE effortlessly with our PDFinity® online PDF tool. In order to make our tool better and more convenient to work with, we constantly implement new features, with our users' feedback in mind. With just several basic steps, you may begin your PDF editing:

Step 1: Click on the "Get Form" button above. It's going to open up our pdf tool so you can begin filling out your form.

Step 2: After you start the online editor, you'll see the document ready to be completed. Other than filling in different blanks, you may also do other actions with the PDF, that is writing custom text, changing the initial textual content, inserting images, signing the document, and more.

This PDF form requires particular information to be entered, hence make sure to take some time to type in what's asked:

1. The INSTALLATIONSUSE involves specific information to be entered. Make sure the following fields are finalized:

CONSTRUCTION301 conclusion process described (portion 1)

2. After the previous section is filled out, proceed to enter the applicable information in all these - SECTION II PEOPLE INFORMATION, NAME, STREET ADDRESS, PROPERTY OWNER, PHONE, CITY, STATE, ZIP CODE, CONTRACTOR SAME AS OWNER, BUSINESS NAME, STREET ADDRESS, PHONE, CITY, STATE, and ZIP CODE.

Step no. 2 for submitting CONSTRUCTION301

3. Throughout this stage, check out It shall be the duty of the person, A homeowner may secure a permit, This permit was not reviewed for, The individual who signs this, work performed as specified herein, SIGNATURE OF PROPERTY OWNER, SIGNATURE OF ELECTRICAL CONTRACTOR, DATE, DATE, SERVICE, CAPACITY, NUMBER OF AMPS EXISTING, NUMBER OF AMPS PROPOSED, NUMBER OF UNITS IN MULTIFAMILY, and OR NEW SPACES IN MOBILE HOME COURT. All of these have to be filled out with highest precision.

CONSTRUCTION301 conclusion process outlined (part 3)

Concerning DATE and SIGNATURE OF ELECTRICAL CONTRACTOR, make sure you get them right in this current part. Both these could be the most important fields in the document.

Step 3: Revise everything you've entered into the blanks and then click on the "Done" button. Create a 7-day free trial account with us and get direct access to INSTALLATIONSUSE - with all changes kept and accessible from your FormsPal account page. We don't share or sell any information that you enter whenever filling out forms at our site.