APPLICATION FOR BUILDING PERMIT

Date:

Estimated Project Cost:

Application is hereby made for a permit for:

Residence

Commercial Business

Manufacturing

Warehouse

Garage

Professional Office

Other

Job Address

Owner

Owner Address

Phone Number:

Email Address For Permit

Architect:

Architect Address:

Contractor:

Contractor Address:

Electrician:

Electrician Address:

Plumber:

Plumber Address:

Roofer:

Roofer Address:

Legal Description of Property

Parcel Number:

Use and Occupancy Class

Commercial

Industrial

Residential

Type of Construction:

Area in Square Feet:

Size of Electric Service in AMPs:

Notes/Comments