Permit Information Sheet - City Of Fairfield - Building & Zoning Division

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PERMIT INFORMATION SHEET
CITY OF FAIRFIELD
BUILDING & ZONING DIVISION
(513) 867-5318
APPLICATION DATE: ____________________
PARCEL NUMBER: ___________________________
JOB ADDRESS: _______________________________________________________________________
NAME OF BUSINESS/TENANT/OCCUPANT: _______________________________________________
PROPERTY OWNER: ___________________________________________________________________
Address: ___________________________________________________________________
___________________________________________________________________
Phone: __________________________________
BUILDER/CONTRACTOR: ______________________________________________________________
Address: ______________________________________________________________
______________________________________________________________
Phone: _______________________ Contact Person: _________________________
License #: _______________________ (Electric, HVAC & Sign Erectors)
PLEASE CHECK THE APPROPRIATE BOX(S):
[ ] Commercial
[ ] Residential
[ ] Change of Occupancy
[ ] Gas Piping
[ ] Demolition
[ ] Electrical
[ ] HVAC
[ ] Sign
[ ] Promotional Tent
[ ] Fire Alarm/Suppression
[ ] Other
DESCRIBE THE WORK THAT IS TO BE DONE: _____________________________________________
IS THIS NEW/REMODEL/ADDITION? ______________________________________________________
COST OF IMPROVEMENTS: ___________________
SQ. FOOTAGE: ________________
NUMBER OF STORIES: _______________________
# OF LAYERS: _________________
**Roofing Permits Only
For Promotional Signs/Tents, please list Starting and Ending Dates:
_____________________________________
to
___________________________________
For Electrical Permits, please provide the following:
Voltage: _______________
Phase: ___________________ AMPS: __________________
# of Meters: ____________
# of Main Disconnects: _____________________
PLEASE SEE REVERSE SIDE FOR MORE INFORMATION……..

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