Form Center

2. Address
4. City
5. State
6. Zip Code
8. Subdivision
9. Present permit for Structure
10. Block
11. Lot
13. Existing Building

    1. Yes
    2. No
14. Present Use
16. Owner's Name
18. Owner's Complete Address
20. Check boxes that apply

    1. Commercial Use
    2. Single Family
    3. Duplex

    1. Art
    2. Condo

    1. Units
    2. Multi-Family

    1. Additions
    2. Alterations
22. Service Information

    Work must commence within 6 months of issuance and not be abandoned in excess of 12 months or permit will become void.

    1. Heat Only

    1. Cool Only

    1. Split Heat/Cool
24. Check if applicable

    1. Change of Service
    2. Complete Job

    1. Repairs
    2. Other
25. If other please explain
27. This application is true and complete to the best of my knowledge and the proposed work meets all codes and ordinances of the City of Watkinsville, Watkinsville, Georgia.
29. Contractor
30. Mailing Address
32. City
33. State
34. Zip
35. Phone
37. Business License Number
38. State Certification Number
40. Contractor's Signature
41. Date
    Date
Leave This Blank:


42. Print Only

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