CITY OF LAKE GENEVA, WISCONSIN

Chief Electrical Inspector: BARNEY BRUGGER

Assistant Electrical Inspector: ______________________________________________________________

Office Address _P.O. Box 340, 626 Geneva Street ___ Office Hours from _8:30___ a.m. to _5:00__ p.m.

For Mailing

Permits _Lake Geneva, _ WI_______53147 Inspectors can be contacted from:

(City) (State) (Zip) _8:30___ a.m. to _ __ p.m.

Office Phone No. _( 414 )____________248-3673 ____________ Home calls accepted: Yes _____ No _X____

(Area Code) (Number) Residence Phone Number: ________________

YES NO

ELECTRICAL CONTRACTORS LICENSE REQUIRED......................................................................................................... ˜ ²

LICENSE FEE – Original $_ ___ Renewal $_ ____

License Examination Required...................................................................................................................................................... ˜ ²

Examination Fee $_ ____

Examinations held (Dates)

SUPERVISING ELECTRICIANS LICENSE REQUIRED......................................................................................................... ˜ ²

LICENSE FEE – Original $_________ Renewal $__________

License Examination Required...................................................................................................................................................... ˜ ²

Examination Fee $_________

Examinations held (Dates) _____________________

ALL LICENSES EXPIRE (Date)_______________

NATIONAL ELECTRICAL CODE ADOPTED (Year)_1999 ................................................................................................. ² ˜

OTHER LOCAL ELECTRICAL CODES (Type) Wisconsin Administrative Code Chapter 16__.................................... ² ˜

ELECTRICAL ORDINANCE.......................................................................................................................................................... ² ˜

INSPECTION REQUIRED.............................................................................................................................................................. ² ˜

PERMITS FOR MUNICIPAL BUILDINGS................................................................................................................................. ² ˜

PERMITS FOR SCHOOL BUILDINGS....................................................................................................................................... ² ˜

FEES FOR SCHOOL BUILDINGS............................................................................................................................................... ² ˜

JOURNEYMAN ELECTRICIAN EXAMINATION..................................................................................................................... ˜ ²

Journeyman Electrician Fee $___________

MASTER ELECTRICIAN CERTIFICATE REQUIRED............................................................................................................ ˜ ²

A BOND IS REQUIRED (Amount)_$__ ( only if opening street )..................................................................................... ˜ ²

Utility Serving the Area ___Alliant Energy ___________________________________

Address of Utility Elkhorn, WI __ _

(Street) (City) (State) (Zip)

CHIEF BUILDING INSPECTOR: (Name) _ _______________________________________

MODEL BUILDING CODE USED: ˜ BOCA ˜ Uniform ˜ National ˜ Southern ² Other

COMMENTS: Permit required but no fee for municipal buildings. __________________________________________________

Wisconsin Uniform Dwelling Code for 1 & 2 Family residences.__________________________________________

Wisconsin Administrative Code for Commercial Buildings.______________________________________________ ______________________________________________________________________________________________________ ______________________________________________________________________________________________________