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ELECTRICAL PERMIT APPLICATION
Print Clear This document has been
City of Muskegon designed to complete online,
Date 933Terrace St. P.O. Box 536 Permit #
print, SIGN, and mail to the city
with all associated fees. This
Muskegon, MI 49443-0536 form IS NOT designed to be
(231)724-6758 submitted electronically.
I. JOB LOCATION
Job Address Has a building permit been issued for this project?
YES NO NOT REQUIRED
Name of Owner/Agent Owner Address
II. CONTRACTOR /HOMEOWNER INFORMATION
Contractor Name License Number Expiration Date
Homeowner
Address(Street & Name) City State Zip Code
Telephone Number Federal employer ID Number (or reason for exemption) MESC Employer Number (or reason for exemption)
( )
Workers Compensation Insurance Carrier (or reason for exemption) Contractor information registered with the City of Muskegon
YES NO
III. TYPE OF JOB
Class of work (check all that apply)
NEW BUILDING ADDITION ALTERATION REPAIR
RESIDENTIAL COMMERCIAL INDUSTRIAL OTHER
Description of work
IV. FEE SCHEDULE Enter the number of items being installed. Multiply by the unit price for the total fee.
FEE #ITEMS TOTAL FEE #ITEMS TOTAL
Base Fee (Non-refundable) $35.00 KVA & HP each up to 20 $9.00
Service,Subpanel, change of
panel thru 200 amp $15.00 KVA & HP each 21 to 50 $15.00
Over 400 amp thru 600 amp $20.00 KVA & HP each 21 to 50 $18.00
Over 600 amp thru 800 amp $23.00 Fire alarm up to 10 devices $75.00
Over 800 amp thru 1200 amp $30.00 Fire alarm 11 to 20 devices 100.00
Over 1200 Amp GFI Only $50.00 Fire alarm over 20 devices ea. $8.00
Circuits each $5.00 Energy/ Temperature
Controls $45.00
Lighting Fixtures per 25 $9.00 Conduit or grounding only $45.00
Dishwasher $8.00 Inspections Re-inspections or
final $35.00
Electrical Heating (baseboards)
$8.00 Inspections Special/Safety
$50.00
Furnace (unit heaters)
$8.00 Inspections Hourly Rate
$50.00
Power outlets (inc. range &
dryers) $10.00 Meter inspection to turn on
power $35.00
Signs (units) $10.00 Plan Review Fee 25%
Signs (letter) $15.00 Other
Signs (Neon Each 25 ft) $2.00 TOTAL FEES
Feeders Bus ducts per 50 ft) $9.00
Mobile home park site $9.00 RECEIVED BY APPROVED FOR ISSUE BY
Recreational vehicle park site $8.00
V. HOMEOWNER AFFIDAVIT
I hearby certify the electrical work described on this permit application shall be installed by myself in my own home which I am living or am about to occupy. All
work shall be installed in accordance with the electrical code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved
by the Electrical Inspector. I will cooperate with the electrical inspector and assume responsibility to arrange all necessary inspections.
VI. APPLICANT SIGNATURE
Section 23a of the state construction code act of 1972, 1972 PA 230, MCL 125.1523a, prohibits a person from conspiring to circumvent the licensing
requirements of this state relating to persons who are to perform work on a residential building or a residential structure. Violators of section 23a are
subjected to civil fines."
Signature of Licensee or Homeowner(Homeowner Date
signature indicates compliance with Section V)
E1/06