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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