Building Permit Application

< Building Permit Application

Property Information

Contractor(s)

Applicant Information

Applicant Name:

Applicant Address:

City, State, Zip:

Phone Number:

Who is applying?:

Property Owner Information

Property Owner Name:

Owner Mailing Address:

City, State, Zip:

Owner Phone Number:

General Contractor Information

Contractor Name:

Address:

City, State, Zip:

Phone Number:

Email Address:

Contractor License #:

Business License #:

Electrical Contractor Information

Contractor Name:

Address:

City, State, Zip:

Phone Number:

Email Address:

Contractor License #:

Business License #:

Mechanical Contractor Information

Contractor Name:

Address:

City, State, Zip:

Phone Number:

Email Address:

Contractor License #:

Business License #:

Plumbing Contractor Information

Contractor Name:

Address:

City, State, Zip:

Phone Number:

Email Address:

Contractor License #:

Business License #:

Project Information

Permit Type:

Type of Work:

Scope of Work:

Project Cost:

Signature

I do hereby certify that the information contained herein is true and correct.

E-Signature:

Upload Files:

Files