ELECTRICAL PERMIT APPLICAITON

CITY OF OAKDALE
P.O. Box 728 * Oakdale, La 71463
Ph. (318) 335-3629
ELECTRICAL/GAS PERMIT APPLIATION
Property Owner:
Contractor Information:
Name:
City License #:
Address:
State License #:
City/State/Zip:
Name:
Phone #:
Please enter a valid phone number.
Company Name:
Please enter a valid phone number.
Address:
City/State/Zip:
Phone #:
Please enter a valid phone number.
Description of Work:
Utility Account Information (Need Scope of Work for Generator or Repair)

TransferNew ServiceGeneratorRepair
Cleco Acct No.:
Delta Utilities Acct No.:
For more information on Plan Review Rates www.rapc.info and click on permitting tab.
Signature of Applicant

Clear
Print Name
If no construction on the preliminary building permit has commenced within six (6) months of issue date
PERMIT IS VOIDED
PERMIT IS VOIDED
Should be Empty: