Modoc County, CA · Modoc County
Application for Electrical Service Change-Outs, Restore Service & Agricultural Pump Services
This application is for owners, applicants, and contractors requesting an electrical service change-out, service restoration, or agricultural pump service.
At a glance
- Issued by
- City of Modoc County · Modoc County, Modoc County, California
- Notarization
- Not required: file this form without a notary.
- Official source
- countyofmodoc.gov
- Blank form
- Download the PDF
- Catalogued
- Machine-readable
- JSON record · about the forms index
What this form is
Use this application to request a permit for an electrical service change-out or reconnection to restore service, or for agricultural electrical service and pump work. It asks for owner and contractor details, parcel and irrigation district numbers, project cost, service and pump specifications, and a map to the pump installation. For service changes involving a different location or type of utility service drop, the form calls for a site plan and explanatory notes.
Who needs it
Property owners, applicants, or contractors seeking a permit for an electrical service change-out, service restoration, or agricultural pump installation should complete the applicable sections.
How to submit it
The form names the Modoc County Building Safety Department at 203 W. 4th Street, Alturas, California 96101, and lists phone and fax numbers, but does not specify a submission method.
About notarization
This application is signed and dated without a notary; its declarations are made under penalty of perjury, but no notarized attachment or related step is specified.
How to submit this form
- 1
Download the Application
Download the electrical service application PDF.
- 2
Complete the Applicable Sections
Provide the requested owner, contractor, project, service, and pump information for the work.
- 3
Prepare the Required Map or Site Plan
For agricultural pump work, include a map or partial irrigation district map. For specified service-drop changes, include a site plan and explanatory notes.
- 4
Sign and Contact the County
Sign and date the application. The form names the Modoc County Building Safety Department but does not specify how to submit it.
Frequently asked questions
- What does this electrical service application cover?
- It covers permits for electrical service change-outs or reconnections to restore service, as well as agricultural electrical service and pump work.
- What information does the application request?
- It requests owner and contractor information, parcel and irrigation district numbers, estimated cost, electrical service details, pump specifications, and a map to the pump installation.
- Do I need a notary for this electrical service application?
- No. The application has signature and date lines but no notary block. Its declarations are made under penalty of perjury; no notarized attachment or related step is specified.
- How do I submit the electrical service application?
- The form names the Modoc County Building Safety Department and provides its address, phone, and fax, but does not state a submission method.