The Maine Electrical Permit form is a crucial document required for obtaining permission to perform electrical work within the state of Maine. This form is specifically designed for licensed electricians, ensuring that all installations comply with state regulations and safety standards. By completing and submitting this application, electricians take an important step in safeguarding both their work and the well-being of the public.
The Maine Electrical Permit form is an essential document for anyone planning electrical work in the state. This application, overseen by the Department of Professional and Financial Regulation, is designed for licensed electricians who need to secure a permit for their projects. The form requires detailed information, including the electrician's name, license number, and contact details. It also specifies the worksite's location and the type of electrical work being performed. Various fee structures are outlined, depending on the nature of the work, such as the installation of electrical systems for residential or commercial properties. Notably, the minimum fee for obtaining a permit is $75, and all fees are non-refundable. Electricians must certify the accuracy of the information they provide and acknowledge their responsibility to comply with applicable laws and regulations. Additionally, payment options are available, including credit card payments, which streamline the process for applicants. The form is comprehensive, ensuring that all necessary details are captured to facilitate proper oversight and regulation of electrical installations in Maine.
ELECTRICAL PERMIT APPLICATION
STATE OF MAINE
DEPARTMENT OF PROFESSIONAL & FINANCIAL REGULATION OFFICE OF PROFESSIONAL & OCCUPATIONAL REGULATION
ELECTRICIANS’ EXAMINING BOARD
35 STATE HOUSE STATION
AUGUSTA, ME 04333
TEL: (207)624-8457 FAX: (207)624-8636 HEARING IMPAIRED: 1-888-577-6690 Location: 76 Northern Avenue, Gardiner, Maine
Office Use Only Check #: _______________
Amount: _______________
Cash #: ________________
Permit #: _______________
4220-1441
PERMIT FEES ARE NON-REFUNDABLE
MINIMUM FEE $75.00
ELECTRICIAN INFORMATION (PLEASE PRINT)
ONLY A LICENSED MASTER OR LIMITED ELECTRICIAN MAY OBTAIN AN ELECTRICAL PERMIT
Name
Mailing Address
City
State
Zip Code
Telephone
License #
By my signature, I hereby certify that the information provided on this application is true and accurate to the best of my knowledge and belief. By submitting this application, I understand that I am legally and professionally responsible for compliance with all laws and rules enforceable by the board with respect to the installation for which the permit is requested. Electricians’ Examining Board Rule 02-318 Chapter 135.
SIGNATURE OF ELECTRICIAN
DATE
PAYMENT OPTIONS
Make checks payable to “Maine State Treasurer” – if you wish to pay by Mastercard or Visa, fill out the following:
Name of cardholder (please print) FIRSTMIDDLE INITIAL LAST
I authorize the Department of Professional and Financial Regulation, Office of Professional & Occupational Regulation to
charge my
VISA
MASTERCARD the following amount: $_______________________
Card number: XXXX – XXXX – XXXX – XXXX
Expiration Date:
mm / yyyy
SIGNATURE
LOCATION OF BUILDING WORKSITE
Commercial/2-Family
Single family – temporary service only
Street/Road
Town/City
County
Landmarks (Be Specific)
OWNER
(CONTINUE ON BACK)
SCOPE OF WORK
FEE SCHEDULE: - CHECK ONE:
PERMANENT
TEMPORARY
1 and 3 phase through 800 amperes
____ @ $75.00
$
1 and 3 phase 801 and larger
____ @ $85.00
Panels remote from the main service
____ @ $7.50
Recreational vehicle park sites
Receptacles, switches, luminaries, electrical heating units, permanently
connected appliances and outside lighting and signs
____ @ $.50
Transformers – Not utility owned
____ @ $20.00
Motors and Generators:
Motors – fractional
____ @ $2.00
Motors – 1 hp and larger
____ @ $4.00
Generators (emergency, required standby, optional)
____ @ $30.00
Electrical Alarm Systems
Energy Management Systems
Alternative Energy Systems:
Photovoltaic
Wind
Micro-Hydro, Fuel Cell, Other
Systems Control wiring (HVAC)
TOTAL DUE ($75.00 MINIMUM FEE)
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