Fillable ELECTRICAL PERMIT APPLICATION Development Services Department

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ELECTRICAL PERMIT APPLICATION Development Services Department

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Building Permit Application #
Development Services Department
SCOPE OF WORK: (REQUIRED):
ELECTRICAL PERMIT
APPLICATION
2406 Leopard St. Corpus Christi, TX 78408 | Phone: 361.826.3240 | Fax: 361.826.4375 | PermitRequests@cctexas.com
Today's Date:
(Check one) Residential Commercial
Street Address:
Business Name: Project Valuation:
Owner’s Name:
Address:
Phone #:
Contractor’s Name:
Address:
Phone #:
Contractor’s E-mail address:
State Contractor’s License #:
Exp. Date:
License
Holder/Owner -SIGNATURE:
License Holder/Owner/ PRINT NAME
Authorized
Agent:
LOCATION OF WORK AT BUILDING SITE:
I have read the complete application and know the same to be true and correct and hereby agree that if the
permit is issued, all provisions of the City Ordinance will be complied with whether herein specified or not. I
understand that the permit belongs to the property owner, and I am an authorized agent.
Notes:
ESID# REQUIRED FOR ALL SERVICE RELEASES
(Example: ESID# 100 - 327 - 894)
-__________ - __________ - __________
Final Inspections are required to close permit.
City of Corpus Christi | Form No: DSD-1007
Rev. 3/9/2022 | Page 1 of 1
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ELECTRICAL PERMIT APPLICATION Development Services Department

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Completed 28 June 2022

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