PLUMBING /
MECHANICAL- ELECTRICAL
PERMIT APPLICATION
SCOTTSBORO, ALABAMA
OFFICE OF COMMUNITY DEVELOPMENT
1. LOCATION OF PROPOSED WORK:
Address Block No. Lot No.
2. OWNER OF PREMISES:
Name Address
Phone number
3. CONTRACTOR:
Name Address
Phone number
4. DESCRIBE SCOPE OF JOB:
** JOB VALUATION (commercial electric or mechanical) $
*** SIZE OF SERVICE/BREAKER PANEL (residential electric):
* NUMBER OF BATHROOMS (residential plumbing):
* NUMBER OF FIXTURES (commercial plumbing):
* PLUMBING (1) State master plumbing certification.
Applicant shall have wallet identification card.
(2) City License required.
** HVAC (1) State certified by heating and air conditioning board.
Applicant shall have wallet identification card.
(2) City License required.
*** ELECTRICAL (1) City License required.
Date: