Electric,
Mechanical and Plumbing
Permit Application
Property Owner:
Location Address:
Permit #
Date:
Contractor:
Address: Email:
Street City,
ZIP
Phone#: License#:
Information on Project: ( All That Apply)
Commercial Residential (1 or 2-Family Dwelling)
System Modifications
Electrical Mechanical Plumbing Water/Sewer
Electric Service New service Upgrade Service Repair Service
Amps. Utility Co.
Mechanical Change Out New Mechanical Low Voltage New Electric Circuits
Plumbing Repair New Plumbing Water Heater Gas Service New Gas Piping
Other
Detail of Work:
Estimated Construction Cost
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. THE GRANTING OF AN
ELECTRIC, MECHANICAL OR PLUMBING PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER
STATE OR LOCAL LAW REGULATING CONSTRUCTION OR THE PERFOMANCE OF RELATED REQUIREMENTS. LATE PERMITS ARE SUBJECT TO INCREASED
FEES. THIS PERMIT BECOMES NULL AND VOID IF WORK AUTHORIZED IS NOT COMMENCED WITHIN 6 MONTHS, OR IF WORK IS SUSPENDED OR
ABANDONED FOR A PERIOD OF 3 MONTHS AT ANY TIME AFTER WORK IS STARTED.
CONTRACTOR
SIGNATURE:
This is to certify that I will personally supervise this
installation
DATE:
City of South Fulton
Development & Community Services
5440 Fulton Industrial Boulevard
Atlanta, GA 30336
470-809-7210
click to sign
signature
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