Electrical Inspection & Permit request form

required information

Name of Applicant filling out this form*
First Last
Applicant Phone number*
Applicant Email*
Name of the building owner or property owner or Agent*
First Last
Owner or Agent Address*
Street Address City State / Province / Region ZIP / Postal Code
Owner or Agent Phone number*
Owner or Agent Email*

The permit # and any notifications will be sent to this email
What is the address or directions to the project location of the electrical wiring installation*
List the scope and extent of the electrical wiring installation*
List the person or company and License number responsible for the wiring installation, unless exempted under s. 101.862(4) Stats.*
101.862 License or registration required. (1) No person may engage in the business of installing, repairing, or maintaining electrical wiring unless the person is licensed as an electrical contractor by the department. (2) No person may install, repair, or maintain electrical wiring unless the person is licensed as an electrician by the department or unless the person is enrolled as a registered electrician by the department.
List the name and license number of the master electrician responsible for the installation, unless exempted under s. 101.862(4) Stats.*
101.862 License or registration required. (3) No person who is not a master electrician may install, repair, or maintain electrical wiring unless a master electrician is at all times responsible for the person's work.