Attach Receipt:
RECEIVED:
PERMIT
&
DEVELOPMENT CENTER
Archive Permit Search Request
Searches from the present to 2001: Where information can be found in our records and transmitted electronically to the
applicant. No charge.
Searches which involve records older than 2001: A fee of $10 per permit found per structure is charged. (Example: If you are
requesting to research all permit types (ie. Building, mechanical, electrical, etc.) for an address and multiple permits are found you will
be charged for those permits individually.)
Only one building/structure address search per request form.
Photocopying of documents: $1.00 for the first page and $ .25 for every copy thereafter.
**Extensive searches that require additional staff time will be charged at an hourly rate to be determined by the Building Official.
Please call the Permit and Development Center (515-283-4200) if there are any questions regarding this request
Requested Address: _____________________________ Zip: ________ Parcel No.:_____________________
(Indicate a specific building where multiple buildings exist on a parcel)
Date Range of Search (Ex. 1991-2001): ________________________________________________________
Type of Permits:
BLD
ELE
PLM
MEC
SGN
CO
ROW
Other
Applicant:____________________________________________
Address:_____________________________ City:__________________ State: _______ Zip: ________
Phone #'s: Work:
Home:
Cell:
Nature of Archive Request:
Signature of Applicant:__________________________________________
NOTE: The City of Des Moines does not retain floor plans or drawings of any structures beyond the current
construction project's completion.
OFFICE STAFF ONLY:
Routing:
Building
Zoning
Engineering
Permit(s) Found:
BLD / ELE / PLM / MEC / SGN / ROW / CO / OTHER
Copies Attached
Number of Permits Found:
__________
X
$10.00 ea.
=
$______________________
Copies made: $1.00 for the first copy & ____________ X .25 for all others= $ _______________________
Total Due: $_______________________
Form received by: _________________________
Date: _________________
Search Conductor: ________________________
Date: __________________
REVISED 7-27-2012