Fillable ARIZONA DEPARTMENT OF HOUSING OMH ISAMONTHLY REPORT (Arizona)

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ARIZONA DEPARTMENT OF HOUSING OMH ISAMONTHLY REPORT (Arizona)

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ARIZONA DEPARTMENT OF HOUSING OMH
1110W.Washington,Suite#200
Phoenix,AZ85007
P:520‐343-9801 omh.iga@azhousing.gov
MonthlyPermitVolume
NumberofPermits
Issued
TotalFees
Collected
FBBCOMMERCIAL
FBBRESIDENTIAL
MANUFACTUREDHOMES
Name,AddressofIGAPartner(Pleasetypeorprint)
ReportingMonth:
DateSubmitted:
SubmittedBy:
Email:
Ph
oneNumber:
Only complete section below when final inspection is completed.
ISAMONTHLY
REPORT
HUDLabel,FBBMfg.Certificate
orRehabilitationCertificate
Number
UnitSerialNumber
Installer/ROC
ContractorLicense
Number and insignia
InstallationAddress
FinalInsp.
Date
Monthly Reports are due by the 15th of each month for the previous month’s installation activity.
A Report MUST be submitted every month whether or not there has been any installation activity.
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ARIZONA DEPARTMENT OF HOUSING OMH ISAMONTHLY REPORT (Arizona)

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Completed 12 August 2020

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