Patterson, NY · Putnam County

No notary required

NYEIS Electrical Permit Application

This application provides NYEIS with job-site, work, and applicant details for electrical inspections requested by property owners or their authorized agents.

What this form is

Use this application to request inspection of electrical work by NYEIS, identifying the job site, building permit number, owner or occupant, and the work or inspection types. The form also asks about the electrical service and, for new service only, account and applicant details. It states the application is good for one year after filing and may be returned if spaces are not filled in.

Who needs it

Property owners, occupants, or authorized agents requesting NYEIS inspection of electrical work should complete and sign this application.

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 lists no notarized attachment or sworn step, so the applicant just signs and dates it.

How to submit this form

  1. 1

    Download The Application

    Download the NYEIS Electrical Permit Application PDF.

  2. 2

    Complete The Form

    Fill in all spaces with the job-site, owner or occupant, work, and applicant information requested.

  3. 3

    Review And Sign

    Check that the information is full and accurate, then sign and date the application.

  4. 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

What is the NYEIS Electrical Permit Application for?
It provides job-site, applicant, and work details for NYEIS electrical inspections, including the requested inspection type and service information.
Who completes this application?
The form has fields for the applicant, owner, and occupant, and states that the applicant, owner, or authorized agent agrees to its conditions.
Do I need a notary for the NYEIS Electrical Permit Application?
No. This application is signed and dated without a notary, and it lists no notarized attachment or sworn step.
How do I submit the NYEIS Electrical Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.

Need something notarized?

This NYEIS Electrical Permit Application doesn’t need a notary — but if you have another Patterson form that does, a commissioned online notary can help.