Residential Electrical Permit Application

To apply for a Residential Electrical Permit please submit the form below.

After submitting the Residential Electrical Permit Application you will be directed to the online payment form that must be paid for the Residential Electrical Permit to be issued. Code Compliance Officer Nichols will contact you shortly to assign your project a Residential Electrical Permit.

Any questions, please contact Code Compliance Officer Steve Nichols at snichols@adeliowa.org.

Residential Electrical Permit Application

"*" indicates required fields

I have confirmed that my property is within the city limits of Adel:*

If you have questions about your location please contact Steve Nichols (snichols@adeliowa.org).

Yes

Property Owner Information

Name*

First Last

Phone*

Email*

Property Address*

Street Address Address Line 2 City State ZIP Code

Is mailing address different than property address?*

Mailing Address*

Street Address Address Line 2 City State ZIP Code

Electrician / Contractor Information

Name*

Phone*

Email*

Address*

Street Address Address Line 2 City State ZIP Code

License No.*

I understand that construction on any easement will be at my own risk and responsibility and that I will be liable for any necessary removal should it become necessary. I hereby acknowledge that I have read this application and state that the above is correct and agree to comply with all city ordinances and state laws regulating building construction. I further agree and understand that the City of Adel has not reviewed nor does it make any representation concerning, any covenants or any restrictions where there may be covenants or other restrictions prohibiting the proposed improvement.

Signature of Owner or Authorized Agent:*

By submitting this application online I understand that my electronic signature carries the same weight as my print signature.

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