Site Work Permit Application Form - City Of Bowling Green
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1
2Filing Date: _____________
City of Bowling Green
Site Work Permit Application
Neighborhood and Community Services
Office Use Only
707 E. Main Ave
PV
PO Box 430
Bowling Green, KY 42102-0430
GP
Permit #
2016-
Phone: 270-393-3676 & 270-393-3615
Fax: 270-393-3223
SW
PERMIT LOCATION
Permit Address __________________________________________ Suite/Unit/Apt __________ Zip Code ____________
Subdivision _____________________________ Project/Development Name ___________________________________
Lot # ___________
Building # ____________
PROJECT INFORMATION
The Project is…
Residential
Commercial
General Description of Project _________________________________________________________________________
__________________________________________________________________________________________________
Square Footage: Existing ___________
New ___________
Construction Cost $_______________________
I am …
Creating or Expanding an Asphalt or Concrete Area
Grading and Seeding Only
*Completing Site Work (including Utilities, Grading, Paving and Foundations) for future building construction
Other: ___________________________________________________________
*
Additional permits will be required for future building construction
APPLICANT INFORMATION
Applicant ___________________________________
Street Address _______________________________________
City _________________________________
State ______
Zip Code _____________
Suite/Unit/Apt # ________
Email __________________________________
Phone _____________________
Mobile _____________________
Check all that apply to Applicant’s Role:
Owner
Contractor
Other__________________
Primary Contact ________________________________________ Office Phone _________________________________
Email ________________________________________________ Mobile Phone_________________________________
Fax ________________________________________
CONTRACTOR INFORMATION (IF NOT THE APPLICANT)
Contractor Business Name ________________________________ Street Address _______________________________
City ______________________________
State ______
Zip Code _____________
Suite/Unit/Apt # __________
Email __________________________________
Phone _____________________
Mobile _____________________
Fax ____________________________________ Primary Contact ____________________________________________
OWNER INFORMATION (IF NOT THE APPLICANT)
Owner Name ____________________________________ Street Address______________________________________
City _________________________________
State ______
Zip Code _____________
Suite/Unit/Apt # ________
Email __________________________________
Phone _____________________
Mobile _____________________
December 7, 2015
Doc# 566311
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