Cheney, WA · Spokane County

No notary required

Electrical Service Supplemental Form

This fillable form provides electrical service details for a permit, completed by the electrical contractor for a residential or commercial project.

What this form is

The form collects a job site address or parcel number, electrical contractor contact and license information, and service details for residential or commercial work. Complete the applicable section with information such as temporary power needs, loads, service phase and voltage, and estimated future load. The form includes a $250 amount beside temporary power during construction.

Who needs it

Electrical contractors completing electrical service information for a residential or commercial project should fill in the applicable section.

How to submit it

The form lists the Cheney Public Works Department at 112 Anderson Rd., Cheney, WA 99004, and phone number (509) 498-9293. It does not specify a submission method.

About notarization

This document is signed without a notary; it has no notarized or sworn attachment, so the signer just signs and dates it.

How to submit this form

  1. 1

    Download The Form

    Download the Electrical Service Supplemental Form PDF.

  2. 2

    Complete The Applicable Section

    Enter the required job site or parcel information, contractor details, and applicable residential or commercial electrical service information.

  3. 3

    Gather Attachments

    The form does not list any attachments.

  4. 4

    Submit To The City

    Submit it to Cheney Public Works Department; the form does not specify how to submit it.

Frequently asked questions

Do I need a notary for the Electrical Service Supplemental Form?
No. This document is signed without a notary, and it lists no notarized or sworn attachment; the signer just signs and dates it.
Who completes the Electrical Service Supplemental Form?
The form asks for electrical contractor contact information and Washington State license number, along with job site and electrical service details.
What information does the form request?
It requests a job site address or parcel number, contractor details, and applicable residential or commercial service information, including loads and service specifications.
How do I submit the Electrical Service Supplemental Form?
The form lists Cheney Public Works Department at 112 Anderson Rd., Cheney, WA 99004, but does not specify a submission method. Check the city website for current contact details.

Need something notarized?

This Electrical Service Supplemental Form doesn’t need a notary — but if you have another Cheney form that does, a commissioned online notary can help.