Permit Application Sheet - City Of Fairfield, Ohio Building & Zoning Division

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City of Fairfield
FOR OFFICE USE
Building & Zoning Division
Permit # _________
PERMIT APPLICATION SHEET
Cost: ____________
Zoning: __________
(513) 867-5318
APPLICATION DATE:
JOB ADDRESS:
NAME OF BUSINESS/TENANT/OCCUPANT:
PROPERTY OWNER:
Address:
Phone:
BUILDER/CONTRACTOR:
Address:
Phone:
Contact Person:
License#:
(Electric, HVAC & Sign Erectors)
Fax No. (For Quick Response Only): ____________________________
PLEASE CHECK THE APPROPRIATE BOX(ES):
[ ] Commercial
[ ] Residential (1, 2 or 3 Family Only)
ELECTRICAL
HVAC
FIRE
[ ] New Service
[ ] Heating Only
[ ] Alarm
[ ] Upgrade/Chg. Service
[ ] Cooling Only
[ ] Sprinkler System
[ ] Temporary Pole
[ ] Heating & Cooling
[ ] Underground Fireline
[ ] Temporary Service
[ ] Multi-Unit
[ ] Hood Suppression
[ ] Pool Bonding
[ ] Misc. Equip
[ ] Pool Wiring
[ ] Hood
PROMOTIONAL
[ ] Multi-Unit Structure
[ ] Sign
[ ] Sign Wiring
[ ] Tent
[ ] Remodel/Rewire
[ ] Banner
[ ] CHANGE OF OCCUPANCY
[ ] GAS PIPING
[ ] DEMOLITION
[ ] PERMANENT SIGN
[ ] OTHER (Please explain below)
DESCRIBE THE WORK THAT IS TO BE DONE:
COST OF IMPROVEMENTS:
SQ. FOOTAGE:
NUMBER OF STORIES:
# OF LAYERS:
*Roofing Permits Only
PLEASE SEE REVERSE SIDE FOR MORE INFORMATION

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