Authorization Letter For Permit Application

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Authorization Letter For Permit Application
Date_____________
Property Owner_____________________________________________
Address____________________________________________________
Address of Proposed Work______________________________________
Branford, CT 06405
To whom it may concern,
Per Public Act 91-95 this letter authorizes ______________________ to obtain
and sign a permit application from the Building Official on my behalf for the
proposed address of work stated above. The description of the job or proposed
works is as follows; ________________________________________________
________________________________________________________________
________________________________________________________________
Start Date_____________
Contractor______________________
License Number__________________
X
Signature of OWNER Applicant

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