Project Address/Location: Owner's Name: Owner's Address: Contractor's Name: Contractor's Address: Description of Work:
Description of Work:
Type of Building: New Existing Type of Work: New Repair Alteration Addition
Building Occupied by: No. Of Stories
Building Construction Type
Building Used as:
ITEMS
QTY.
DESCRIPTION
FEE
Comments:
Applicant certifies that all information given is correct, and that all pertinent plumbing and mechanical ordinances will be complied with in performing the work for which this application is made.
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