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Get Leelanau County Electrical Permit

C I. JOB LOCATION Name of Owner/Agent Has a building permit been obtained for this project? Yes No Not Required Street Address & Job Location (Street No. and Name) City/Village Township I II. CONTRACTOR/HOMEOWNER INFORMATION Contractor Homeowner Name Telephone Number Name Telephone Number Address (Street Number and Name) (P.O. Box) Contractor Fax Homeowner City State Zip Code Cell Number E-mail Address (Reason for exemption) (check appropriate box) Contractor License #.

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