Maine Electrical Permit Form PDF Details

Maine electrical permit form is a document that is filed with the town or municipality to request authorization to engage in electrical work. The form must be filled out completely and accurately, and include all required information. It is important to note that not all towns or municipalities require an electrical permit, so it is important to check with your local government office before proceeding with any electrical work. In addition, permits may be denied for a variety of reasons, including incorrect or incomplete information on the application or unsafe conditions. Therefore, it is important to ensure that your application is complete and accurate before submitting it. For more information on Maine electrical permits, please contact your local government office.

Below is the information regarding the file you were looking for to fill out. It can show you how much time it will need to fill out maine electrical permit form, what fields you will need to fill in, and so fo

QuestionAnswer
Form NameMaine Electrical Permit Form
Form Length2 pages
Fillable?Yes
Fillable fields62
Avg. time to fill out12 min 58 sec
Other namesbangor maine electrical permit, me electrical permit, city of falmouth electrical permit application maine, maine electrical permit application

Form Preview Example

ELECTRICAL PERMIT APPLICATION

STATE OF MAINE

DEPARTMENT OF PROFESSIONAL & FINANCIAL REGULATION OFFICE OF PROFESSIONAL & OCCUPATIONAL REGULATION

ELECTRICIANS’ EXAMINING BOARD

35 STATE HOUSE STATION

AUGUSTA, ME 04333

TEL: (207)624-8457 FAX: (207)624-8636 HEARING IMPAIRED: 1-888-577-6690 Location: 76 Northern Avenue, Gardiner, Maine

Office Use Only Check #: _______________

Amount: _______________

Cash #: ________________

Permit #: _______________

4220-1441

 

PERMIT FEES ARE NON-REFUNDABLE

 

 

MINIMUM FEE $75.00

 

 

 

 

 

 

 

ELECTRICIAN INFORMATION (PLEASE PRINT)

ONLY A LICENSED MASTER OR LIMITED ELECTRICIAN MAY OBTAIN AN ELECTRICAL PERMIT

Name

 

 

 

 

Mailing Address

 

 

 

 

City

 

State

Zip Code

Telephone

 

 

License #

 

By my signature, I hereby certify that the information provided on this application is true and accurate to the best of my knowledge and belief. By submitting this application, I understand that I am legally and professionally responsible for compliance with all laws and rules enforceable by the board with respect to the installation for which the permit is requested. Electricians’ Examining Board Rule 02-318 Chapter 135.

SIGNATURE OF ELECTRICIAN

DATE

PAYMENT OPTIONS

Make checks payable to “Maine State Treasurer” – if you wish to pay by Mastercard or Visa, fill out the following:

Name of cardholder (please print) FIRSTMIDDLE INITIAL LAST

I authorize the Department of Professional and Financial Regulation, Office of Professional & Occupational Regulation to

charge my

VISA

MASTERCARD the following amount: $_______________________

Card number: XXXX – XXXX – XXXX – XXXX

Expiration Date:

mm / yyyy

SIGNATURE

DATE

LOCATION OF BUILDING WORKSITE

 

Commercial/2-Family

Single family – temporary service only

Street/Road

 

 

 

Town/City

County

 

Landmarks (Be Specific)

 

 

 

 

 

 

 

OWNER

Name

 

 

 

Mailing Address

 

 

 

City

State

 

Zip Code

Telephone

 

 

 

(CONTINUE ON BACK)

SCOPE OF WORK

FEE SCHEDULE: - CHECK ONE:

PERMANENT

TEMPORARY

1 and 3 phase through 800 amperes

 

____ @ $75.00

$

1 and 3 phase 801 and larger

 

____ @ $85.00

$

Panels remote from the main service

 

____ @ $7.50

$

Recreational vehicle park sites

 

____ @ $7.50

$

Receptacles, switches, luminaries, electrical heating units, permanently

 

 

connected appliances and outside lighting and signs

 

____ @ $.50

$

Transformers – Not utility owned

 

____ @ $20.00

$

Motors and Generators:

 

 

 

Motors – fractional

 

____ @ $2.00

$

Motors – 1 hp and larger

 

____ @ $4.00

$

Generators (emergency, required standby, optional)

 

____ @ $30.00

$

Electrical Alarm Systems

 

____ @ $75.00

$

Energy Management Systems

 

____ @ $75.00

$

Alternative Energy Systems:

 

 

$

Photovoltaic

 

____ @ $75.00

 

Wind

 

____ @ $75.00

 

Micro-Hydro, Fuel Cell, Other

 

____ @ $75.00

 

Systems Control wiring (HVAC)

 

____ @ $75.00

$

TOTAL DUE ($75.00 MINIMUM FEE)

 

 

$

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stage 1 to completing state of maine electrical permit

Type in the necessary information in Name, Mailing, Address, City, Telephone OWNER, State, Zip, Code and CONTINUE, ON, BACK field.

Completing state of maine electrical permit stage 2

You should note specific particulars inside the space FEE, SCHEDULE, CHECK, ONE PERMANENT, SCOPE, OF, WORK and TEMPORARY.

state of maine electrical permit FEESCHEDULECHECKONE, PERMANENT, SCOPEOFWORK, and TEMPORARY blanks to complete

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