ELECTRICAL PERMIT APPLICATION …

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City of Muskegon 933 Terrace St., Room 204Muskegon, MI 49443 (231) 724-6715 Fax (231) 728-4371 ELECTRICAL PERMIT APPLICATION Date:______________ Job or Project #________________Permit #_____________________ I. JOB LOCATION Job Address Has a buil ding PERMIT been issued for this project? Yes No Not Required Name of Owner/Agent Owner Telephone II. CONTRACTOR/OWNER INFORMATION Contractor Homeowner Name License Number Expiration Date Address (Street & Name) City State MI Zip Code Telephone Number - Office Cell Phone Number Fax Number E- MAIL ADDRESS Contractor Information registered with the City of Muskegon? Yes No (Must be renewed annually) III . TY PE OF JOBClass of work (check all that apply) New Building Addition Alteration Repair Residential Commercial Industrial Other Description of work $ Include for all commercial when plans have been submitted.

City of Muskegon 933 Terrace St., Room 204 Muskegon, MI 49443 (231) 724-6715 Fax (231) 728-4371 ELECTRICAL PERMIT APPLICATION . muskegon@safebuilt.com

  Applications, Electrical, Permit, Electrical permit application