Page 2 of 2 INSP-35 - Rev. 3/2015
Instructions for Permit Applications: (All information must be printed legibly)
1. Owner name, address and phone number.
2. Location and address of work site.
3. Complete description of work to be done.
4. Number of fixtures, appliances and equipment to be installed.
5. Plans must be submitted on all new buildings and major renovations.
Notes:
The property owner of record may exercise their right to perform their own electrical work on
their property if he or she resides there and the residence is a single-family dwelling occupied
by the owner of record. (Prior to property owner applying for his/her own electrical permit,
he/she must speak with the Electrical Inspector for approval.)
It is the responsibility of all contractors, electricians and plumbers to obtain the necessary
permits from the Inspectional Services Division before ANY work has begun. Work must begin
within six (6) months of the issuance of any permit.
Electricians must have a valid license from the State of New Hampshire to obtain a permit.
Permits are not transferable.
It is the responsibility of the contractor to obtain all inspections required. A rough-in inspection
is required before any work is covered, and a final inspection is required when all work is
complete. A twenty-four (24) hour notice is required for any inspection. This signed application
constitutes consent on the applicant’s part to allow for all inspections at the property location
listed.
Permits will not be issued until all of required information has been furnished and all
conditions mentioned above have been met.
It is the responsibility of the property owner and/or the contractor to contact PSNH after Town
approval to schedule for connection.
INSPECTIONS REQUIRED: (24 hours notice required)
1. Underground conduit installations.
2. When service is installed and a work order number has been obtained from PSNH.
3. When rough-in is complete and visible (Rough).
4. When job is complete, but before occupancy (Final).
Inspectional Services approval certifies that the applicant can proceed with installing Electrical
fixtures in accordance with the specifications submitted. Any deviation from the specifications
submitted will require an amendment to this permit or additional permits.
If you have any questions, please contact the Inspectional Services Division at (603) 886-6005.
I have read and understand the statement and hereby agree to all of the terms stated therein. I
agree to abide by any and all codes relating to my field of work, including all national, state
and local codes. I also realize that any false statement made in the application for permit may
be grounds for revocation of said permit.
_____________________________________ ______________________
Applicant Signature Date
_____________________________________ ______________________
Signature of Permit Clerk Date
Permit fees:
$75.00
0-2,000 sq. ft. $200.00
2,001-3,000 sq. ft. $225.00
3,001-4,000 sq. ft. $250.00
over 4,000 sq. ft. $275.00
$100.00
$75.00
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