Purpose. Use this form to request a building permit.
* Information is required.
Name, Street Address, City, State, Zip, Phone, FAX
The owner of this building and the undersigned do hereby covenant and agree with all the laws of the State and the local ordinances pertaining to the building(s), and to construct the proposed buiilding(s) or structure(s) or make the proposed change or alteration in accordance with the plans and specifications submitted herewith, and certify that the information and statements given on this application, drawings, and specifications to the best of their knowledge, true and correct.