Miscellaneous Permit Application

2. 
4. Miscellaneous Permit Application
6. Date*
   Date
7. Type of Permit*

   1. Electrical
   2. Mechanical
   3. Plumbing

   1. Mobile Home
   2. Other
8. If other, please describe
10. Applicant*
11. Phone:*
12. Email*
14. Address of Property*
15. Lot#
16. Subdivision
18. Owner
19. Phone
21. Email Address
23. Electrical Contractor
24. Phone
26. Mechanical Contractor
27. Phone
29. Plumbing Contractor
30. Phone
32. Is Contractor Billable?

    1. Yes
    2. No
33. Fees:

    1. Mechanical - $25/each
    2. Electrical - $25/each
    3. Plumbing - $25/each
    4. Mobile Home - $15/each
34. If not billable, please PAY ONLINE here:
    Click to open GovPay.net
36. Intended Use:*

    1. One Family Dwelling
    2. Two Family Dwelling
    3. Multi-Family
    4. Commercial
37. If Multi-Family, how many units?
38. Upload any supporting documents
40. Describe Project*
42. For Remodel Only: Estimated Cost of Project*
44. eSignature*
    I understand and agree that by typing my name above I am providing a legal signature on this application for the building permit.
45. Relationship to Applicant*
    Describe your relationship to the applicant.
Leave This Blank:


47. 1. Receive an email copy of this form.
48. Email address

    This field is not part of the form submission.

49. Submit Submit and Print

* indicates a required field