Application For A Permit To Construct Or Demolish
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4Application for a Permit to Construct or Demolish
This form is authorized under subsection 8(1.1) of the Building Code Act,1992
For use by Principal Authority
Application number:
Permit number (if different):
Date received:
Roll number:
Application submitted to:
(Name of municipality, upper-tier municipality, board of health or conservation authority)
A. Project information
Building number, street name
Unit number
Lot/con.
Municipality
Postal code
Plan number/other description
2
Project value est. $
Area of work (m
)
B. Purpose of application
Addition to an
Conditional
New construction
Alteration/repair
Demolition
existing building
Permit
Proposed use of building
Current use of building
Description of proposed work
C. Applicant
Applicant is:
Owner or
Authorized agent of owner
Last name
First name
Corporation or partnership
Street address
Unit number
Lot/con.
Municipality
Postal code
Province
E-mail
Telephone number
Fax
Cell number
D. Owner (if different from applicant)
Last name
First name
Corporation or partnership
Street address
Unit number
Lot/con.
Municipality
Postal code
Province
E-mail
Telephone number
Fax
Cell number
Application for a Permit to Construct or Demolish – Effective January 1, 2014
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