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ALLEN COUNTY, INDIANA BUILDING DEPARTMENT 200 E. Berry Street/Suite 180 FORT WAYNE, INDIANA 46802-1299 PHONE: (260) 449-7131 Joseph Hutter, Building Commissioner AFFIDAVIT “FOR RESIDENTIAL ELECTRICAL WORK” I certify with my signature for the project addressed below that I will do the residential electrical work according to the specific code that I have checked. I also understand that if the residential code chosen on this form needs to be changed after permit issuance, a fee of $25 will be assessed and paid at the time of the amendment. Indiana Residential Code (2018 IRC with Indiana amendments) Indiana Electrical Code (2008 NEC with Indiana amendments) Address of Signature: