Texas City, TX · Galveston County
Affidavit for Temporary Utilities
Electrical contractors use this affidavit to request temporary utilities for construction purposes and equipment testing at an address in Texas City.
What this form is
An electrical contractor completes this affidavit to request temporary utilities for construction and equipment testing at a specified address. The signer acknowledges that temporary utilities do not authorize building occupancy or storage, accepts responsibility for certain code and ordinance violations, and agrees to indemnify the City. The form asks for the date, address, contractor signature, printed name, driver’s license number, master license number and expiration, and phone number.
Who needs it
An electrical contractor requesting temporary or emergency utilities for construction purposes and equipment testing needs to complete this affidavit.
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 form asks the electrical contractor to sign and date it.
How to submit this form
- 1
Download the Affidavit
Download the Temporary Utilities Affidavit PDF.
- 2
Complete the Form
Enter the date and address, then provide the electrical contractor’s printed name, driver’s license number, master license number and expiration, and phone number.
- 3
Sign the Affidavit
The electrical contractor signs the form and agrees to its stated terms.
- 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 Temporary Utilities Affidavit?
- No. The form has a signature and date field but no notary block; the electrical contractor signs and dates it.
- How do I submit the Temporary Utilities Affidavit?
- Submit it to the city department named on the form; check the city website for current contact details.
- Who completes this affidavit?
- The electrical contractor requesting emergency or temporary utilities for construction purposes and equipment testing completes and signs it.
- Does temporary utility service authorize building occupancy?
- No. The affidavit says temporary utilities do not permit occupancy or storage unless the required building permits have been inspected and approved and a Certificate of Occupancy has been issued.