Date
Electrical Permit #
Project Address
(Issued By City)
Phone # ( )
City Zip
Tax Key #
24 hr. Phone # ( )
City Zip
Owner Name
Address
Applicant E-mail Address
Contractor
Address
Project Description
Elec. Contractor #
Base Fee of $50.00 + (______sq/ft for all areas x .06 sq/ft) = ____________
Description Each Count Fee
0.50 each ______ _______
8.00 each ______ _______
6.00 each ______ _______
3.00 each ______ _______
______ _______
80.00
15.00/100 amps
______ _______
6.00 ______ _______
10.
00 ______ _______
20.00 ______ _______
6.50 ______ _______
0.50/HP-1.00 min ______ _______
0.50/kw ______ _______
2.00
______
_______
80.00
______ _______
15.00 ______ _______
1.00
______ _______
50.00 ______ _______
25.00 ______ _______
25.00 ______ _______
......................................... $ 50.00 each
Light, switch, convenience outlet, lighting fixtures
Power receptacle over 150 volts, first 30 amps
Over 30 amps
HID light pole base each pole
Temporary service, servic
e switch each or alternative first 200 amperes
Over
200 amperes – additional per 100 amps or a fraction of
Refrigeration unit up to 5 HP plus 1.0 per HP over 5
Combination heating and air conditioning unit up to 5 ton
Over 5 ton
Range, oven, clothes dryer, dishwasher, disposal, water heater
Each motor, per HP or fraction thereof
Each generator, transformer, reactor, capacitor, welder, converter and electric furnace
Dimmer and rheostats
Swimming pool (electrical wiring and grounding), hydro massage tub, hot tub
Sign – Fluorescent, neon or incandescent
Fans – Bath- Paddle and misc under 1 hp, photo cells, clocks, smoke detectors
Fire alarm systems, exit lights, emergency lights
Approved assemblies NOT included above and others
Other (Specify)
Minimum Permit, Reinspect or Failure to call for Inspection
* Double fees are due if work started before permit is issued.
Contact your Oconomowoc utility for further rules and regulations @ (262)569-2196.
For inspections call the building inspector at (262) 569-2195.
The applicant agrees to comply with the municipal ordinances and with the conditions of this permit, understands that the issuance of the permit creates no legal liability, expresse or implied, of
the Department, Municipality, Agency or Inspector, and certifies that all the above information is accurate. Have Permit/Application number and address when requesting inspections.
Signature of Applicant_________________________________________ Date ____________________________
Print and sign permit, then mail or drop off along with permit fee (cash or check).
Permit will not be processed until all requirements are received.
V:\Building Inspection\Electric Permits\Electrical Permit FF 6.8.20.pdf
New Building Addition & Remodeling
Replacement, Modifications or Individual Items
Department of Building Inspection
174 E Wisconsin Ave. Oconomowoc, WI 53066
www.oconomowoc-wi.gov 262.569.2195
ELECTRICAL PERMIT
APPLICATION
Permit Approval by Permitting Authority. Application is hereby approved and permit issued by the City of Oconomowoc
subject to full compliance by the Applicant with all conditions set forth by the Department of Public Works.
Check # :____________________________ City Representative: _________________________________
Date: ______________________________ Date: _____________________________________________
From: ______________________________
Conditions of Approval:_____________________________________________________________________________
Office Use
Total Inspection Fee __________________
NO REFUNDS ON PERMIT FEES
(Base Fee of $50.00 + (min of $70.00 for calculated area x .06) = a total of $120.00 which is the min fee
Total $ __________
min fee of $120.00
Master Elec. #
