Elizabethtown, PA · Lancaster County

No notary required

Gas Appliance Permit Application

Elizabethtown property owners or authorized applicants use this application to request a permit for a proposed gas appliance installation.

What this form is

The application provides project, property, applicant, contractor, and appliance details for Borough review under its Zoning Ordinance and the Pennsylvania Uniform Construction Code. Submit it before beginning excavation or construction; the form says work may not begin until the Borough issues a Construction Code Permit. Include the appliance specification sheet, proof of insurance when required, and written estimates or contractor quotes supporting the project cost.

Who needs it

Property owners, applicants, or authorized agents planning a gas appliance project in Elizabethtown should complete the 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; self-employed contractors complete and sign the included Workers’ Compensation Affidavit.

How to submit this form

  1. 1

    Download the Application

    Download the Gas Appliance Permit Application PDF.

  2. 2

    Complete the Application

    Fill in the project, property, applicant, contractor, appliance, and project cost information.

  3. 3

    Gather Supporting Documents

    Include the appliance specification sheet, supporting estimates or quotes, and required proof of insurance or affidavit.

  4. 4

    Submit to the City

    Submit the completed application 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 Gas Appliance Permit Application?
No. The application is signed and dated without a notary. Self-employed contractors must complete and sign the included Workers’ Compensation Affidavit.
How do I submit the Gas Appliance Permit Application?
Submit it to the city department named on the form; check the city website for current contact details.
What should I include with the application?
Include the appliance specification sheet, written estimates or contractor quotes supporting the project value, and required proof of insurance. Self-employed contractors complete the included affidavit.
Can I start work before the permit is issued?
No. The application states that excavation or construction may not begin until the Borough issues a Construction Code Permit.

Need something notarized?

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