Electrical Permit

Electrical Permit Application

Please complete the following application to the best of your ability. If you have any questions, contact Wade Jordan, Code Enforcement Officer, at Wade.Jordan@lincolnmaine.org or 207-794-3372.
I. General Information
Project Name*
Applicant Name*

First NameLast Name
Applicant Phone Number*
Please enter a valid phone number.
Applicant Email*
example@example.com
Applicant Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
Is applicant the property owner?*

YesNo
Property Owner Name*

First NameLast Name
Property Owner Phone Number*
Please enter a valid phone number.
Property Owner Mailing Address*

Street Address

Street Address Line 2

CityState / Province

Postal / Zip Code
II. Type of Work
Type of Improvement*

New Service - 100 AmpNew Service - 200 AmpNew Service - 3-PhaseInternal Wiring - 100 AmpInternal Wiring - 200 AmpInternal Wiring - 3-PhaseNew Service + Internal Wiring- 100 AmpNew Service + Internal Wiring - 200 AmpNew Service + Internal Wiring - 3-Phase
Proposed Use*

Single FamilyMulti-FamilyGarage/CarportMobile HomeOther
Multi-Family - Number of Units*
Mobile Home - Year*
Mobile Home - Serial Number*
III. Job Information
Will the owner be completing their own work?*

YesNo
Electrician Name*
License Number*
Description*
Please Schedule your inspection one business day in advance. All work must comply with NFPA 70, the National Electrical Code.
Tax Map
Lot
Zone
Fee Total
Please pay the above fee by mailing a check made out to Town of Lincoln to the Town Office at 29 Main St, after the permit has been approved. You may also pay in-person, with an appointment by bringing cash, check, or credit card to the Town Office.
Signature*

Clear
Email
example@example.com
Should be Empty:

Electrical Permit Application

I. General Information

II. Type of Work

III. Job Information