Building Permit Application Form
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2
3
4C
E
S
ODE
NFORCEMENT
ERVICES, INC.
215 West Main Street
Phone: (248) 449-9902
Northville, MI 48167
Fax:
(248) 349-9244
Authority:
1972 PA 230
Completion:
Mandatory to obtain permit
CITY OF NORTHVILLE BUILDING DEPARTMENT
Penalty:
Permit cannot be issued
BUILDING PERMIT APPLICATION
Applicant to Complete All Items in Sections I, II, III, IV, V and VI
Note: Separate Applications Must be Completed for Plumbing, Mechanical
and Electrical Work Permits.
Additional required documents may include County approved well,
septic, driveway permits as well as a soil erosion control permit if required by the County.
I. Project or Facility Information
PROJECT NAME
ADDRESS
NAME OF CITY, VILLAGE OR TOWNSHIP IN WHICH JOB IS LOCATED
COUNTY
ZIP CODE
CITY OF NORTHVILLE
OAKLAND AND WAYNE
APPLICANT EMAIL ADDRESS:
II. Applicant/Facility Contact Information
A. Applicant
NAME
ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
(include area
code)
B. Owner or Lessee
NAME
ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
(include area
code)
C. Architect or Engineer
NAME
ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
(include area
code)
LICENSE NUMBER
EXPIRATION DATE
D. Contractor
NAME
ADDRESS
CITY
STATE
ZIP CODE
TELEPHONE NUMBER
(include area
code)
BUILDERS LICENSE NUMBER
EXPIRATION DATE
FEDERAL EMPLOYER ID NUMBER (or reason for exemption)
WORKERS COMP INSURANCE CARRIER (or reason for exemption)
UNEMPLOYMENT INSURANCE AGENCY EMPLOYER ACCOUNT NUMBER (or reason for exemption)
III. Type of Job
A. Type of Improvement
NEW BUILDING
ALTERATION
DEMOLITION
FOUNDATION ONLY
RELOCATION
ADDITION
SIGN
MOBILE HOME SET-UP
PRE-MANUFACTURED
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Parent category: Business