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Miscellaneous Permit Application
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Miscellaneous Permit Application
Date
*
Date
Type of Permit
*
Electrical
Mechanical
Plumbing
Mobile Home
Other
If other, please describe
Applicant
*
Phone:
*
Email
*
Address of Property
*
Lot#
Subdivision
Owner
Phone
Email Address
Mobile Home Setter/Contractor
Phone
Electrical Contractor
Phone
Mechanical Contractor
Phone
Plumbing Contractor
Phone
Is Contractor Billable?
Yes
No
Fees:
Mechanical - $25/each
Electrical - $25/each
Plumbing - $25/each
Mobile Home - $15/each
If not billable, please PAY ONLINE here:
Click to open GovPay.net
Intended Use:
*
One Family Dwelling
Two Family Dwelling
Multi-Family
Commercial
If Multi-Family, how many units?
Upload any supporting documents
Describe Project
*
For Remodel Only: Estimated Cost of Project
*
eSignature
*
I understand and agree that by typing my name above I am providing a legal signature on this application for the building permit.
Relationship to Applicant
*
Describe your relationship to the applicant.
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Email address
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