Fillable Electrical Permit 704 Fourth Street / PO Box (Town of Mills)

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Electrical Permit 704 Fourth Street / PO Box (Town of Mills)

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The Electrical Permit 704 Fourth Street / PO Box (Town of Mills) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Mills

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Town of Mills Permit #_________________
704 Fourth Street / PO Box 789
Mills, WY, 82644 Fee $_________________
307-234-6679
Permit Issued Subject To Provisions of Town Ordinance
Electrical Permit
PROPERTY INFORMATION
OWNER:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
CELL:
PROJECT ADDRESS
ADDRESS:
CITY:
STATE:
ZIP CODE:
CONTRACTOR INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
CELL:
OR □ OWNER IS CONTRACTOR
APPLICANT SIGNATURE:
APPLICATION DATE:
TOWN OFFICIAL
APPROVAL SIGNATURE:
APPROVAL DATE:
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Electrical Permit 704 Fourth Street PO Box (Town of Mills)

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Completed 31 January 2021

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