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2. Owner
3. Owner Phone Number
5. Applicant/Contractor
6. Applicant/Contractor Phone Number
7. Applicant E-Mail Address*
   *If preferred method of contact
9. Site Address
11. Description of Work
13. 1. New Construction
    2. Replacement
    3. Enlargement
    4. One/Two Family
    5. Multi-Family
    6. Commercial
14. 1. Furnace
    2. Air Conditioning
    3. Fireplace/Heater
    4. Other
15. If other, please explain
17. Fuel Type
18. Type Venting
20. Equipment Location
21. Equipment Brand
23. **EQUIPMENT IS TO BE INSTALLED PER MANUFACTURER'S LISTED INSTRUCTIONS
25. Instructions available to inspector?

    1. Yes
    2. No

    (If no, installation must still meet all applicable state and local mechanical, electrical, fuel-gas, building, fire, and other applicable codes)
27. The applicant hereby agrees that the approval of plans or the issuing of a permit procured by misrepresentations of facts or conditions or misstatements in application does not legalize an illegal construction arrangement or condition.
29. The permit fee for all work covered by the provisions of the mechanical, residential and building codes, shall be calculated based upon the estimated cost and nature of work proposed, using the city fee schedule.
31. eSign- First Name
32. eSign- Last Name
33. Date
35. Total Cost of Work
36. ** Please note that a fee will be required. You may call with a Credit Card Number, send a check/cash, or stop into City Hall to pay for your fee. Your fee total will be sent with the permit.
Leave This Blank:


38. 1. Receive an email copy of this form.
39. Email address

    This field is not part of the form submission.

40. Submit

* indicates a required field