Fillable TOWN OF OCEAN CITY Electrical Permit Application All (Town of Ocean City)

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TOWN OF OCEAN CITY Electrical Permit Application All (Town of Ocean City)

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Permit Fee $65.00 PERMIT No. _____________
TOWN OF OCEAN CITY
Electrical Permit Application
Planning & Zoning Dept. 410-289-8855
Permit forms are available online at www.oceancitymd.gov
All work shall be done in accordance with the NEC 2014 National Electrical Code
Job Site Address: ____________________________________________________________________________
Recorded Property Owner: ___________________________________________________________________
Mailing Address: ____________________________________________________________________________
City/Town: ___________________________________________ State: ____________ Zip: _______________
DESCRIPTION OF WORK __________________________________________________________________
___________________________________________________________________________________________
COST OF WORK $_____________________
ELECTRICIAN’S Written Statement: A Worcester County Maryland Licensed Electrician must appear in
person or submit a signed and notarized application at the Building Inspection Office to complete the following:
Electrician’s Name _____________________________ trading as _____________________________________
Address _________________________________________ Email _____________________________________
O.C. Business License ______________________ Phone No. ________________________________________
I certify I am presently licensed in the County of _____________________, Maryland, Electrician’s License
Number _________________ as a ______________________________ and have been hired to perform the
electrical work covered by this building permit.
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 ordinance governing this type of work will be complied with whether specified herein or
not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other
state or local agency that regulates construction or the performance of construction
.
__________________________________________ ____________________________
SIGNATURE Date
FOR OFFICE USE ONLY
X
Date Paid
Building Plans Examiner / Chief Building Official
X
Receipt No.
Zoning Administrator
Please see reverse side for list of Third Party Electrical & Mechanical Inspection Agencies Revised January 3, 2018
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TOWN OF OCEAN CITY Electrical Permit Application All (Town of Ocean City)

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Completed 14 July 2020

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