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RESIDENTIAL IMPROVEMENT LOCATION PERMIT APPLICATION
For Single Family, Multi-Family, & Two Family: New Structures, Additions, Remodels, & Accessory Structure. s
FAX
R:
LOCATION
& PRO3ECT
FAX
ADDRESS OF CONSTRUCT[ON
S~WER Lf~LiTY WATER UTILITY / I ESTIMATED COST OF CONSTRUCTION:
NANE OF UTIUTY EXCaVATiON CONTEACTOR; PLAN CONMISSION I BZA 1 8PW DIZZ, ET
NUMI~ERE; T^C DATE(S}; AND/OR COUNTY WELL AND~OE SSPT~¢ PERI, lIT #~J (IF APPL[C_.~LE}:
S~UARE
[] TOWN HOME
TWO FAMILY
# of units:
MULti-FAMILY
# of Units:_
[] RESIDENTIAL (For
Additions, Remodels, Etc.)
Early Release
permit: Y __~_N
Lot Split: Y _~__N
Does any part of the property lie within a special
Manufactured
Tresses: ~ ~'N
Sump Pump: _J~__Y__N
TYP- -F -VEM :
~ NEW STRUCTURE
ROOM ADDTT[ON(S)
[] PORCH ADDTHON(S)
[] REMODEL
[] ACCESSORY BUILDING Which plumbing codes
[] DETACHED GARAGE [~International
[] ATTACHED GARAGE C~
C~ DEMOLITION (Multi-Family Cons~uction Code)
FOUNDATION TYPE: (Check all that apply for the new
construction area)
~CRAWLSPACE [] POST & BEAN
C~ SLAB
N
ma. ncc dat~ Class I structure permits are subject
s of the
of land or
OFFZCE USE ONLY: ************************************************************************
Filing Fees:
ZNSPECIT~ONS REQUZRED:
Base Inspections: ~/~:../,~, -/-:.fw # Charged
Under
Slab
Renews
Cert or Occupancy: ~
Additional Fees