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Building Permit Application
Property Information
Contractor(s)
Applicant Information
Applicant Name:
Applicant Address:
City, State, Zip:
Phone Number:
Who is applying?:
Designer
Contractor
Owner
Tenant
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:
Single Family
Grading/Fill
Electrical
Duplex
Swimming Pool
Mechanical
Multi-Family
Tower
Plumbing
Commercial
Culvert
Other
Type of Work:
New
Remodel
Addition
Repair
Scope of Work:
Project Cost:
Signature
I do hereby certify that the information contained herein is true and correct.
E-Signature:
Upload Files:
Files
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