Lake Jackson, TX · Brazoria County

No notary required

Request for Temporary Electric Connection

General contractors use this request to ask the city to provide temporary electrical power for construction at a listed street address.

What this form is

A general contractor completes this request to ask for temporary electrical power at a construction site, stating the street address, purpose, and requested start date. The form says power is for construction purposes only and that the building cannot be occupied. The city section records whether temporary use is approved or disapproved; any approval is for a specified period of up to 90 days.

Who needs it

A general contractor seeking temporary electrical power for construction at a Lake Jackson property should complete this request.

How to submit it

Submit the request to the Public Works Department - Building Division, 25 Oak Drive, Lake Jackson, TX 77566. The form also lists a phone number and fax number.

About notarization

This request is signed and dated without a notary; it lists no notarized or sworn attachment, so the contractor signs and dates the form.

How to submit this form

  1. 1

    Download The Request

    Download the temporary electric connection request PDF.

  2. 2

    Complete The Form

    Enter the date, permit number, address, contractor details, purpose, and requested start date.

  3. 3

    Check For Attachments

    The form does not list an attachment to gather.

  4. 4

    Submit To The City

    Submit the completed request to the Public Works Department - Building Division at the address shown on the form.

Frequently asked questions

Do I need a notary for the temporary electric connection request?
No. The request has no notary block or notarized attachment; the contractor signs and dates the form.
How do I submit the temporary electric connection request?
Submit it to the Public Works Department - Building Division at 25 Oak Drive, Lake Jackson, TX 77566. The form also lists phone and fax numbers.
What information does the request ask for?
It asks for the date, permit number, street address, general contractor, location for power, purpose, and requested start date. The city records its approval decision and dates.
How long can temporary electrical use be approved?
The city-use section provides for approval for a specified number of days, with a maximum of 90 days.

Need something notarized?

This Request for Temporary Electric Connection doesn’t need a notary — but Texas residents can notarize other documents online with a commissioned online notary.