2005 NFC



|2005 NFC |

|Authority: 1972 PA 230 |

|Completion: Mandatory to obtain permit. |

|Penalty: Permit cannot be issued |

Electrical Permit Application

City of River Rouge Building Department

10600 W. Jefferson River Rouge, MI 48218

(313) 842-4209 Fax (313) 842-4208

JOB LOCATION:__________________________________________ DATE:_____________________________

All permit requests must have an address to be processed.

Property ID number Contractor’s signature

Contractor Information:

__________________________________________________________________________________________________

Contractor’s Name License Number Date Issued

__________________________________________________________________________________________________

Address City State ZIP Code

___________________________________________________________________________________________________________

Telephone Number Federal ID Number

___________________________________________________________________________________________________________

Worker’s Compensation Carrier number expiration date Driver’s license

Owner of Property Information:

Owner’s Name:______________________________________________ Phone#:__________________________________________

Owner’s Address: ____________________________________________________________________________________________

Owner’s Address City State ZIP code

Application Fee $25.00

Minimum Permit Fee +$50.00

Both must be paid for plus items:

New home construction $250

(New structure only)

Circuits:

( ) Residential

(First circuit $10, each additional $7)

( ) Commercial

($15 each for the first 25 circuits, ea. additional $10

Connections:

( ) Air Conditioner $15

( ) Above Ground Pool $20

( ) Below ground Pool $30

Buss Ducts/Feeders/Conduit

( ) First 50 ft. $15

( ) Each additional 100 ft. $7

Interruptible Air Conditioner $20

Lighting Fixtures (plugs, switches, lights):

( ) Total number of fixtures

$10 – first 10, $3 each additional 10

Heating/Furnace:

( ) $15 each furnace

Air Cleaner or Humidifier:

( ) $5 each

Services, Subpanel, etc.:

( ) $30 100 amp

( ) $40 over 100 thru 400 amp

( ) $50 Over 400 amp

Smoke and/or Heat Detectors:

$____ $5 each

Failure to Secure a Permit

$100 _____

Re-Inspection Fee $50 ____

(not ready or unattainable or unapproved)

$____ $50 non permit-able item

$____ $25 per rough inspection

Registration: ($15 Reg, $15 Processing) $30

TOTAL PERMIT FEES

$__________

Total Cost of Construction Job: $___________

Construction value is required to process permit.

This is not a permit. Installation may not commence until an Electrical permit has been secured. A copy of the permitee’s State of Michigan Photo ID/Driver’s license is REQUIRED. A copy of the licensee’s State of Michigan Electrical License is REQUIRED (Registration fee $30). An original application with original signatures must be submitted for processing. Self addressed stamped envelopes must be submitted with all mail-in permits.

Section 23a of the State Construction 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 subject to civil fines.

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download