What is the Millersburg building and electrical permit application for?

It is used to apply for a building permit, an electrical permit, or both. The form collects information about the applicant, owner, proposed work, contractors, costs, and project details.

Who completes this permit application?

The permit applicant completes the form and provides owner and contractor information as applicable. The applicant certifies that the information is true and correct and signs and dates the application.

Do I need a notary for the Millersburg permit application?

No. The application is signed without a notary. If a workers’ compensation exemption form is used, the application says it must be signed, not notarized.

Millersburg, PA · Dauphin County

No notary required

Application for Building and/or Electrical Permit

This application is for property owners or agents seeking a building permit, an electrical permit, or both for proposed work in Millersburg.

What this form is

Use this application to request a building permit, an electrical permit, or both for proposed work. It asks for the construction site, applicant and owner details, a work description, contractor information, estimated costs, and project-specific building or electrical details. The applicant certifies that the information is true and correct and agrees to comply with applicable laws and ordinances.

Who needs it

Property owners or their authorized agents seeking a building permit, an electrical permit, or both for proposed work should complete 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 document is signed without a notary; the applicant signs and dates the application, and a workers’ compensation exemption form, if used, is signed.

How to submit this form

1
Download The Application
Download the building and/or electrical permit application PDF.
2
Complete The Form
Fill in applicant and owner details, the construction site address, proposed work, contractor information, and applicable project details.
3
Gather Supporting Documents
For workers’ compensation, provide a certificate of insurance or a signed exemption form, as indicated on the application.
4
Sign And Submit
Sign and date the application, then submit it to the city department named on the form.

Frequently asked questions

What is the Millersburg building and electrical permit application for?: It is used to apply for a building permit, an electrical permit, or both. The form collects information about the applicant, owner, proposed work, contractors, costs, and project details.
Who completes this permit application?: The permit applicant completes the form and provides owner and contractor information as applicable. The applicant certifies that the information is true and correct and signs and dates the application.
How do I submit the building and electrical permit application?: Submit it to the city department named on the form; check the city website for current contact details.
Do I need a notary for the Millersburg permit application?: No. The application is signed without a notary. If a workers’ compensation exemption form is used, the application says it must be signed, not notarized.

Need something notarized?

This Application for Building and/or Electrical Permit doesn’t need a notary — but if you have another Millersburg form that does, a commissioned online notary can help.