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Residing Permit Application

  1. Office Use Only

    Date:__________ Permit # ___________________ PID # ___________________ Notes: ______ Total $________

  2. Property Type*

  3. Construction Type*

  4. The Applicant Is*

  5. If applicant is other, describe.

  6. Property Owner Contact Information

  7. Contractor Contact Information (if applicable)

  8. Provide detailed description of the work that will be done.

  9. Payment*

    Permits must be paid for before issued.

  10. Receipt of Permit*

    All permits with plans will need to be picked up.

  11. Indicate who to contact for payment.

  12. This is an application for a permit - it is not valid until processed*

    I hereby apply for a Residing permit, and I acknowledge that the information above is complete and accurate; that I understand this is not a permit and work is not to start without a permit. I understand and hereby agree that the work for which the permit issued shall be performed according to; (1) the conditions of the permit; (2) the approved plans and specifications; (3) the applicable city approvals, ordinances, and codes; and, (4) the state building/mechanical codes and regulations. I understand that the permit will expire, and become null and void if work is not started within 180 days, or if work is suspended or abandoned for a period of 180 days any time after work has commenced; and, that I am responsible for ensuring that all required inspections are requested in conformance with the state building code.

  13. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

  14. Leave This Blank:

  15. This field is not part of the form submission.