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Building Permit Application

2. BUILDING PERMIT APPLICATION
3. Permit No.______________
5. Permit Applicant*

   1. Owner/Occupant

   1. Contractor

   1. Third Party
9. Customer Data
11. Name of Owner or Tenant*
13. Address*
15. City*
16. State*
17. Zip Code*
19. Phone Number*
20. Email Address*
24. Contractor Data
26. Company Name
28. Address
30. City
31. State
32. Zip Code
34. Phone Number
35. Email Address
39. Third Party Applicant
41. Name
43. Address
45. City
46. State
47. Zip Code
49. Phone Number
50. Email Address
54. Proposed Project Data
56. Construction Value*
    (Materials and Labor/Install Costs)
58. Description of Work*
    -- Select One --AdditionDeckDrivewayElectricalFenceFire AlarmFire SprinklerFire Suppression Wet ChemicalMechanicalNew BuildingOtherPatioPlumbingRemodelRoofSewerShedSignSolarSwimming PoolTemporary Sign/BannerTemporary TentWater HeaterWindows/Doors
60. Driveway Type
    -- Select One --AsphaltConcretePavers
62. Fence Type
    -- Select One --Chain LinkMetalVinylWood
63. Fence Height
    -- Select One --3 Feet4 Feet5 Feet6 Feet
65. Description of Work
67. Mechanical Type
    -- Select One --Air Conditioner OnlyAir Conditioner and FurnaceFurnace OnlyKitchen HoodRoof Top Unit
69. New Building Type
    -- Select One --New Commercial BuildingNew Residential BuildingNew Accessory Structure
71. Description of Building
73. Shed Foundation
    -- Select One --Concrete SlabFramed Platform on Gravel/GroundShed Directly on Gravel/Ground
75. Sign Type
    -- Select One --MonumentWall Mounted
76. Sign Details
    -- Select One --IlluminatedNon-Illuminated
77. Sign Square Footage
78. UL Number
80. Swimming Pool Type
    -- Select One --Above GroundIn Ground
82. Start and End Dates
    Start and End Dates Start Date

    —

    Start and End Dates End Date
84. Plat of Survey
    Upload plat of survey indicating proposed work
86. Contract / Scope of Work/ List of Materials*
    Upload contract or written scope of work
88. Plans
    Upload scaled drawings/blueprints of proposed work
90. Cut Sheets
    Upload equipment cut sheets and specifications
92. Location of Sewer Work*
    -- Select One --Within 5 feet of the buildingMore than 5 feet from the building
93. Sanitary Check Valve Program?*
    -- Select One --NoYes
95. Description of Work*
99. Informational Handouts
    Guides & Publications

    Please review the informational handouts related to your project as a general guide for code compliance.
101. Please note that additional information may be requested to complete your submittal. Incomplete submittals will not be reviewed until complete.
Leave This Blank:


103. 1. Receive an email copy of this form.
104. Email address

     This field is not part of the form submission.

105. Submit Submit and Print

* indicates a required field