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This Form Is A Request For An Existing Sewage Inspection For An Electrical Permit.
Electrical Connections Permit Request
Date
*
Property Information
STREET ADDRESS
*
LOT #
*
CITY
*
ZIP
*
SUBDIVISION
*
Radio Buttons
*
COMMERCIAL
HOUSE
MOBILE HOME
APARTMENT
(APT #)
*
Turn by turn directions to property:
*
Description of property (color, material, landmarks, etc.):
*
CONTACT INFORMATION
Name you want the electricity under:
*
OWNER
*
Radio Buttons
*
New Owner
Renter
Seller
Property Manager
BEST DAYTIME PHONE #
*
EMAIL
*
Would You Like To:
*
Pick up the permit
Have us walk it to the permit office
Submit
