Avoyelles Parish Police Jury Permit Department
312 N. Main Street
Marksville, LA 71351
Ph: 318-253-7291 / Fx: 318-253-9218 / email: permits@avoypj.org
RAPC TRADE PERMIT APPLICATION
Electric Company (Choose One):
*
CLECO
ENTERGY
SLEMCO
CONCORDIA
Electrical Acct. No.:
*
REQUIRED before permit will be released to Electric Co.)
Name of Owner:
*
Phone No.:
*
Other Phone No.:
Address:
*
City/State:
*
Zip:
*
PO Box (if used for mailing):
City/State
Zip
Project Address:
*
City:
*
State:
*
Zip:
*
DESCRIPTION OF NEW CONSTRUCTION/RENOVATION
(ACT 12 REQUIREMENTS WILL APPLY)
ELECTRICAL
PLUMBING
NATURAL GAS
HVAC
PROPANE
Total Cost:
Scope of Work:
CONTRACTOR INFORMATION:
(PROPOSAL/CONTRACT REQUIRED & CONTRACTOR MUST HAVE A TRADE PERMIT WITH THE PARISH)
Electrical:
Plumber:
HVAC:
Signature
Date
/
Month
/
Day
Year
Date
Submit
Should be Empty: