HomeMy WebLinkAboutElectrical Declaration of Compliance - Homeowner
Homeowner Electrical Permit Statutory
Declaration
For Single Family Dwelling Only
Page 1 of 1
City of Maple Ridge Revised 2017-06-24
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7311 Fax: 604-467-7461
Trades Permit Applications: permitapplications@mapleridge.ca Enquiries only at: buldingenquiries@mapleridge.ca
Inspection Requests: inspectionrequests@mapleridge.ca
Homeowner Electrical Permit Statutory Declaration
I, of the City of Maple Ridge, Province of British
Columbia,
DO SOLEMNLY DECLARE:
THAT, I am the owner or one of the owners of lands and premises located at:
, Maple Ridge BC, Canada
(Civic Address)
THAT, I solemnly declare that said building is a "Single Family Dwelling";
THAT, I reside or intend to reside at the premises identified above and hereby apply for a permit to do certain
ELECTRICAL work therein;
THAT, the ELECTRICAL work will not be carried out by anyone other than myself or other owners of the lands
and premises;
THAT, no person shall be paid to assist me in doing the work under this permit;
THAT, I will not nor do I intend to rent out any portion of the Single Family Dwelling;
AND I MAKE this solemn declaration conscientiously believing it to be true and knowing it to be of the same
force and effect as if made under oath and by virtue of the "Canada Evidence Act".
DECLARED before me at the City of Maple Ridge, in the Province of British Columbia.
_________________________________________ ______________________________________
Date Registered Owner’s Signature
______________________________________
Witness