Building Department
21630 11th Avenue South, Suite D
Des Moines, WA 98198
(206)870-7576 fax:(206)870-6544
www.desmoineswa.gov
Residential
Electrical Permit Application
Project Name: Project Address:
Complex/Park Name: Unit/Space Number:
Building Owner
Electrical Contractor
Name:
Address:
City:
State:
Zip:
Phone:
Fax:
Name:
Address: City: State: Zip:
Phone:
Fax:
Email:
Email:
WA Electrical Contractor License #:
Des Moines Business License #:
Scope of Work:
Type Cost per unit Number of units Total per line
Square footage of new residence/addition ( includes low voltage wiring installed by you)
$165.00 for the first 1500 sq ft,
$44.00 for each additional 500
sq ft or fraction thereof
SQ FT
Outbuilding less than 30 amp feeder (includes circuits)
Outbuilding 30 amp feeder or greater (includes circuits)
Swimming pool, hot tub, or septic system. Inspection with service
Swimming pool, hot tub, or septic system. Separate Inspection
Generator and transfer switch. Inspection with service
Generator and transfer switch. Separate inspection
Thermostat or HVAC control system
Security System (Permit not required for completely wireless system with listed plug-in
Class 2 transformer)
Altered service/feeder
Altered / Added circuits 1-4 $71.50, 5+ $8.25 add. each
Temporary service, 0-200amps
Mobile home service and/or feeder
Grounding only
Automation Fee (Required) See Automation Fee Schedule
Total Permit Fee
Applicant:
Owner
Owner's Agent
Electrical Contractor
Electrical Contractor's Agent
I hereby certify that I have read and examined this application and know the same to be true and correct, and agree to comply with City ordinances and State laws
regulating the performance of construction. I certify that I am either the owner of the property described on this permit application, the Washington State licensed
Electrical Contractor responsible for the work, or I represent the owner or contractor as signified above, and am acting with the owner's/contractor's full knowledge or
consent.
Print name of Applicant Applicant's signature
Application expires 180 days from date of application
Permit expires 180 days from date of issuance or last inspection
Date:
