Middletown, NY · Delaware County
Application for Electrical Permit
City of Middletown licensed electricians use this application to request a permit for electrical work at a property in Middletown.
What this form is
This application requests a permit to install or upgrade electrical work at a property in Middletown. The applicant provides the property address and tax map details, owner and electrician contact information, license number, work description, estimated cost, and insurance carriers. It also refers to accompanying detailed drawings and specifications and requires insurance information on proper forms; an ACORD certificate is not acceptable.
Who needs it
A City of Middletown licensed electrician applies when seeking a permit to install or upgrade electrical work at a property.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This application is signed and dated without a notary; it also calls for drawings, specifications, and insurance documents on proper forms, but states no sworn attachment.
How to submit this form
- 1
Download The Application
Download the City of Middletown Application for Electrical Permit.
- 2
Complete The Application
Provide property, owner, electrician, license, proposed work, cost, and insurance information, then sign and date the application.
- 3
Gather Supporting Documents
Include the accompanying detailed drawings and specifications and insurance information on proper forms; an ACORD certificate is not acceptable.
- 4
Submit To The City
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Do I need a notary for the electrical permit application?
- No. The application has a signature and date line but no notary block. It also calls for drawings, specifications, and insurance documents on proper forms, with no sworn attachment stated.
- How do I submit the electrical permit application?
- Submit it to the city department named on the form; check the city website for current contact details.
- Who applies for this electrical permit?
- The form identifies the applicant as a City of Middletown licensed electrician seeking permission to install or upgrade electrical work.
- What supporting information does the application request?
- It refers to detailed drawings and specifications and requests insurance information on proper forms. The form states that an ACORD certificate is not acceptable.