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Building Permit Application PDF

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Louis Pignatelli
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3 views

Building Permit Application PDF

Uploaded by

Louis Pignatelli
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd
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BUILDING PERMIT APPLICATION

212 3rd Avenue, Sterling, IL 61081


815-632-6624
Office hours: Mon-Fri 8am-4:30pm

I. Project Information
Project Address/Pin:__________________________________________________________________
Owner Name: _______________________________ Owner Phone:___________________________________
Owner Address:_____________________________City:____________________State________________

II. Construction Information


Mark all that apply: Proposed Use:
____ New Construction ____ Demolition ____ Single Family ___ Multi Family # of units
____ Addition/Remodel ____ Repair/Replace ____ Stores/Retail ___Service Station/Repair
____ Roofing ____ Siding ____ Industrial/Manufacturing
____ Other ____ Office/Bank/Professional

Detailed description of work/material proposed:


___________________________________________________________________________________________
___________________________________________________________________________________________
___________________________________________________________________________________________
____________________________________________________Project Total Cost_________________________

III. Contractor/Design Professionals-if applicable--List ALL subcontractors-attach separate sheet if


needed **Contractors are required to be registered/current with the City of Sterling**
A. General Contractor Phone#

B. Electrical Contractor Phone# Lic#

C. Mechanical Contractor Phone#

D. Plumbing Contractor Phone#

E Roofing Contractor Phone# Lic#

IV. APPLICANT INFORMATION


I hereby certify that I have the authority to make the forgoing application, that the information given is correct and
true. I acknowledge I am knowledgeable of the code requirements for the work to be performed and shall perform
the work described in accordance with all applicable Codes. I also acknowledge that as the permit holder, I assume
all responsibility and liability for the work performed, and it is my responsibility to contact the Building Department
for applicable inspections when work is complete.

Signature: _______________________________________________________ Date: ______________________

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