CITY OF OAK RIDGE CODE ENFORCEMENT DIVISION

ELECTRICAL PERMIT APPLICATION

Receipt No.			Permit No.
JOB ADDRESS
OWNER					CONTRACTOR
Name					Name
Address					Address
City					City
State Zip					State Zip
Telephone No.					Telephone No.
DESCRIPTION	#	UNIT COST	TOTAL COST	DESCRIPTION		#	UNIT COST	TOTAL COST
Permit Fee	1	$ 5.00	$ 5.00	Major Appliance			$ 2.50
New Residence Permit		$25.00		Electric Sign			$ 5.00
COMMERCIAL, INDUSTRIAL AND EXISTING BUILDINGS				MOTORS AND GENERATORS
120v Devices (1-15)		$ 2.50		1HP Or Less			$ 1.00
Additional Devices		$ .20 Each		1HP Less 5HP			$ 2.00
Light Fixture		$ .20 Each		5HP Less 10HP			$ 3.00
Central Heat And Air		$ 5.00		10HP Less 20 HP			$ 4.00
SERVICE SIZE				20HP Less 50HP			$ 5.00
Less Than 200 Amp		$ 2.50		50HP Or Above			$10.00
200 Amp Less 400 Amp		$ 5.00		TRANSFORMERS
400 Amp And Over		$10.00		5KVA And Above			$ 5.00
		SUB-TOTAL	$				TOTAL	$
UNDERSLAB ELECTRIC		N/C

INSPECTIONS REQUIRED	Rough-in Electric ( )	Underground Electric ( )
	Service Only ( )	Final Electric ( )

Electrical work proposed:

1. This permit will be issued to a homeowner only after signing a HOMEOWNER ELECTRICAL PERMIT form

2. Emergency repairs and replacement may be made under the condition that a permit therefore shall be obtained within the next five (5) days.

3. Housing plans are not necessary unless requested.

4. Fill in this application and bring it to the city Code Enforcement Office.

5. THIS IS NOT A PERMIT TO PROCEED WITH ANY OF THE WORK INDICATED ABOVE, AND NO ELECTRICAL WORK SHALL BE DONE IN THE CITY UNTIL A PERMIT THEREFORE HAS BEEN ISSUED.

_________________________ ____________________________________________________

DATE SIGNATURE OF CONTRACTOR OR OWNER

FORM 05-06-28

REVISED 01/24/01

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Last revised:  August 31, 2004