Fillable ELECTRICAL PERMIT APPLICATION (City of Montgomery)

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ELECTRICAL PERMIT APPLICATION (City of Montgomery)

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The ELECTRICAL PERMIT APPLICATION (City of Montgomery) form is 1 page long and contains:

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  • 4 check-boxes
  • 10 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Montgomery

BROWSE CITY OF MONTGOMERY (TX) FORMS

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OWNE
R:
JOB SITE ADDRESS:
CONTRACTOR:
CONTRACTOR ADDRESS:
EMAIL:
TELEPHONE: CELL PHONE:
RE
SIDENTIAL:
COMMERCIAL:
WORK DESCRIPTION:
LES
S THAN 5,000 SQ. FT OVER 5,000 SQ. FT
FOR OFFICE USE ONLY BASE FEE: $50.00
APPROVED BY:
INSPECTION FEE:
($75.00 EACH)
DATE
:
TOTAL:
Name of Applicant: _______________________________________________________________________________________________
Applicant Signature: ______________________________________________________________________________________________
REVISED 06/12/2019
ELECTRICAL PERMIT APPLICATION
Expires in 6 months (180 days) Non-Transferable
DATE
:
PER
MIT NUMBER:
101 OLD PLANTERSVILLE ROAD,
MONTGOMERY, TEXAS 77316
PHONE: 936-597-6434
FAX: 936-597-6437
PERMITS@CI.MONTGOMERY.TX.US
I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions
of law and ordinances governing this type of work will be complied with whether or not specified herein. The granting
of this permit does not presume to give authority to violate or cancel the provisions of any state or local law regulating
construction of the performance of construction.
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ELECTRICAL PERMIT APPLICATION (City of Montgomery)

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Completed 14 July 2020

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