ELECTRIC PERMIT
APPLICATION
Grove City Building Division
4035 Broadway
Grove City, OH 43123
614-277-3075 (Phone)
614-277-3090 (Fax)
GroveCityOhio.gov
24-Hour Inspection Line: 614-277-1815
For next business day inspections, requests must be called in before noon or contractors may use the online inspection service as late as 8 p.m., seven days a week.
PROPERTY INFORMATION
Address____________________________________________________ Grove City, OH 43123 Subdivision ___________________________
Parcel I.D.______________________ Lot/Unit/Suite/Building _____________________________________________ Zoning ______________
OWNER INFORMATION
Name _______________________________________________________________ Phone ____________________________________________
Address _____________________________________________________________ Email _____________________________________________
Permit No. ______________________________________________________________________
Method by which you would like your permit returned: o Fax o Email o Pickup
OFFICE USE
Receipt # _____________
Ref. # ________________
Date Entered ______________________
Date Issued ________________________
Approved ________ Date ____________
CONTRACTOR INFORMATION Registration No. ______________________________________________
Contractor ______________________________________________________________ Contact ________________________________________
Address ________________________________________________________________ City/State/Zip___________________________________
Phone
________________________ Fax __________________________ Email ______________________________________________________
Signature
___________________________________________________________________________________________ o Owner o Agent
PROJECT INFORMATION
Description ___________________________________________________________________
o Commercial o Residential
FEES
COMMERCIAL/TENANT
Base Fee: $150 + 5¢ per sq. ft.
Pole Base Lighting: $50 per pole
Base Fee $ 150.00
Total Area of Construction
____ x 5¢ per sq. ft. $ ____________
____ Poles x $50 $ ____________
Subtotal $ ____________
State Fee 3% $ ____________
Total Fees $ _______________
RESIDENTIAL
New Residential Service: $150 / Unit
Temporary Service: $60
Base Fee $ 50.00
____ Amps at 5¢ ea $ ____________
____ Outlets/boxes x 60¢ $ ____________
____ Motor hookups x $2 $ ____________
Subtotal $ ____________
State Fee 1% $ ____________
Total Fees $ _________________
SUBMITTAL REQUIREMENT
• 2 Sets of the following:
Floor plan
Diagram for panel
FINAL INSPECTIONS
REQUIRED
Re-Inspection fee for disapproved
inspection: Residential: $50
Commercial: $100
Revised 12/2019
o Cash
o Card
o Check
