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Building Permit - Roof

2. Project Address*

4. Project Description*
   -- Select One --Tear Off/Re-Roof House ONLYTear Off/Re-Roof Garage ONLYTear off/Re-Roof House AND GarageRubber RoofFlat RoofAdd Roof Layer

   Select that which best describes project

6. Project Cost*

7. Dumpster *
   -- Select One --YESNO

   Is a dumpster being used for the project?

8. Dumpster Location
   -- Select One --Private PropertyPublic Right of Way

   Where is the dumpster being placed?

10. Contractor/Company Name*

12. Contractor First Name*

13. Contractor Last Name*

15. Contractor Address*

17. City*

18. State*

19. Zip*

21. Contractor Phone Number*

22. Contractor Email*

24. Dwelling Contractor Credential*

25. Dwelling Contractor Qualifier Credential*

27. Property Owner First Name*

28. Property Owner Last Name*

30. Property Owner Address*

31. City*

33. State*

34. Zip*

35. Property Owner Phone Number*

Leave This Blank:


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

    This field is not part of the form submission.

39. Submit Submit and Print

* indicates a required field