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1.
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2.
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Step 1
Permit Applicant Information
Application Date
Application Date
First Name
*
Last Name
*
You are the:
Contractor
Property Owner
Contractor's Company Name:
*
Contractor's Company Address
*
Contrator's Phone Number
*
Contractor's Email Address
Contractor's City
*
Contractor's State
*
ZIP
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Step 2
Construction Site Information
Property Owner's First Name
Property Owner's Last Name
*
Work Site Address
*
Sublot Number and/or Name of Development:
Property Owner's Phone Number
*
Cleanouts in Driveway/Sidewalk
*
Yes
No
Check All That Apply:
Building Department Permits may also be required, please visit their page if you are pouring footers, garage floors, or installing steps.
Type of Work
*
Driveway/Apron
Sidewalk/Walkway
Patio (Flat Work)
Parking Lot Overlay
Grading/Clearing
Other
Property Description:
*
Residential
Commercial
Cost of Work:
*
New $50.00
Commercial $50.00
Remove and Replace $15.00
Grading/Clearing $50.00
*Additional Deposits May be Required*
Other (Explain):
*24-HOUR NOTICE PRIOR TO INSPECTION IS REQUIRED*
Note: Two (2) inspections are required:
1. The day you begin working (Mobilization)
2. After the forms are set
Provide a sketch of the proposed work
*
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