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Uniform Construction Code (UCC) Electrical Exemption Affidavit
This form may be utilized to satisfy one of the conditions for excluding a dwelling or structure from the electrical construction requirements of the UCC. It should be filled out completely and submitted to the Building Code Official in the municipality in which the dwelling will be constructed. Submission of this form does not satisfy all the requirements of the Act related to this UCC exclusion. Please type all requested information.
Today's Date
(Required)
Dwelling or Structure Construction Site
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Towwnship/Borough/City Name
(Required)
County
(Required)
Dwelling or Structure Owner Information
Owner Name
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
(Required)
Religious Sect
(Required)
Email
(Required)
Supporting Documents
File
Drop files here or
Select files
Accepted file types: jpg, jpeg, gif, png, pdf, Max. file size: 1 GB.
Invoice & Payment
Where should we send the invoice?
(Required)
Enter the name and the mailing address or email address the invoice should go to. Payment can be made by check (mailed or dropped off at our office) or by card.
