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EZ Permit Application Form
Leave This Blank:
Name
*
Address
*
E-Mail
*
Zip Code
*
Phone Number
*
Please select one project type
*
Electrical Reconnection
Spa
Rolling Shades
Outdoor Gas Line
Outdoor Electrical
Water Heater Like for Like
Provide a brief description of your project below
*
Required site plans and construction documents must be attached
(please upload a PDF's or click convert to PDF)
*
Convert to PDF?
(DOC, DOCX, XLS, XLSX, TXT)
Exemption From Licensing: Arizona Revised Statutes (A.R.S.) 32-1121A.5 is an exemption in the state licensing
law that allows residential property owners to: Do the work themselves or Do the work jointly with their own
employees or Do the work with licensed contractors. I am exempt from Arizona Contractor's license laws on the
basis of the licensing exemptions contained in A.R.S. 32-1121A. I am the Owner/Builder of the property. I will
follow in strict compliance with 32-1121 A.5. The property is intended for sole occupancy by the owner, not
intended for occupancy by members of the public, owner's employees or business visitors. The structure(s) are
NOT INTENDED FOR SALE OR RENT WITHIN 1 YEAR AFTER COMPLETION.
I certify that I have read and understand the instruction that accompany this application and that the
statements made as part of this application are true, complete and correct and that no material information has
been omitted.
By clicking the box, you will be indicating your agreement with the terms outlined in the document. If you do not click on the box, the permit application will not be considered submitted.
Please be advised that there will be a $40 processing fee
* indicates required fields.
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