Application form
Electrical Permit Application
Fill in this form below, then print it. Your answers are written onto the township’s original form, ready to sign by hand and mail or drop off. They stay on your device; nothing is sent until you hand in the form.
Lincoln Township Electrical
Permit Application
Applicant to complete numbered spaces only
(in order to receive validated permit)
FEE CHART – Enter the number of items being installed, multiply by the unit price for the total
| FEE | #ITEMS | TOTAL | |
|---|---|---|---|
| 1. Minimum Permit & Issuing Fee | $60.00 | 1 | $60.00 |
| Service: 2. Through 200 Amp. | $10.00 | ||
| 3. Over 200 Amp. Thru 600 Amp. | $15.00 | ||
| 4. Over 600 Amp. Thru 800 Amp. | $20.00 | ||
| 5. Over 800 Amp. Thru 1200 Amp. | $25.00 | ||
| 6. Over 1200 Amp | $50.00 | ||
| 7. Circuits Per Each | $5.00 | ||
| 8. Lighting Fixtures/Outlets – Per 25 | $6.00 | ||
| 9. Dishwasher | $5.00 | ||
| 10. Furnace – Unit Heater | $5.00 | ||
| 11. Electrical Heating Units (baseboard) | $4.00 | ||
| 12. Power Outlets (ranges, dryers, etc.) | $7.00 | ||
| 13. Signs Unit Installation | $10.00 | ||
| 14. Feeders – Bus Ducts, etc. - per 50’ | $6.00 | ||
| 15.Generator | $20.00 | ||
| 16. Mobile Home Park Site | $6.00 | ||
| 17. Recreational Vehicle Park Site | $4.00 | ||
| 18 Units up to 20 K.V.A. & H.P. & Over | $10.00 | ||
| 19. Fire Alarms (not smoke detectors) $5/each | $5.00 | ||
| 20. Solar Equipment | $5.00 | ||
| 21.Solar Panels per 500 watt | $1.00 | ||
| 22. Data Telecommunications Outlet 1 thru 20 | $5.00 | ||
| 23. Temporary Power Pole | $10.00 | ||
| TOTAL FEES (Make checks payable to township) |
The following information is required for all permit applications for work on residential buildings or structures
Signature of Contractor or Authorized Agent
Sign by hand after printing.
Section 23a of the state construction code 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 subjected to civil fines.
A PERMIT WILL BE CLOSED WHEN NO INSPECTIONS ARE REQUESTED AND CONDUCTED WITHIN 180 DAYS OF THE DATE OF ISSUANCE OR THE DATE OF A PREVIOUS INSPECTION. CLOSED PERMITS CANNOT BE REFUNDED.
I hereby certify the electrical work described on this permit application shall be installed by myself in my own home, which I am living in or about to occupy. All work shall be installed in accordance with the Electrical Code and shall not be enclosed, covered up, or put into operation until it has been inspected and approved by the Electrical Inspector. I will cooperate with the Electrical Inspector and assume the responsibility to arrange for necessary inspections.
Signature of Owner (If Owner Is Builder)
Sign by hand after printing.
WHEN PROPERLY VALIDATED THIS IS YOUR PERMIT
(Mail application & check to)
TOM CHRITZ
2096 STARK ROAD MIDLAND, MI. 48642
989-205-6261
Township Electrical Inspector Inspector
Done? Print the completed form, sign it, and hand it in.