PROPERTY OWNER CONTRACTOR INFORMATION
Name:
Name:
Address:
Address:
Telephone #: Telephone #:
Email: Email:
Property Owner – Do you own and occupy the above listed property? No
Current Land Use: 1-Family
Yes
Commercial
Fence (36)
2-Family Multi-Family
Driveway Expansion (35) Yard Shed (22)(<150 ft²)
Project Scope:
Description of Project:
__________________________________________________________________________________________________________________
Estimated Cost of Construction:
The applicant certifies that the information submitted herein is accurate, agrees to comply with the WI Admin. Code,
Municipal Ordinance, and with the conditions of this permit, and understands that permit issuance creates no legal liability,
expressed or implied, on the Department or Municipality.
____________________________________________________________
Signature of Applicant
________________________________________
Date
To schedule an inspection, submit an online Inspection Request or call (920) 448-3300 at least one
business day in advance. Final inspections are required for all projects.
For Office Use Only
Project # _____________________
Parcel # ______________________
Reviewed By: ____________________________________
Receipt # ______________________
Permit Fee ______________________
Credential # ______________________
White – Office Yellow – Applicant
Department of Community
and Economic Development
100 N. Jefferson Street, Rm 608
Green Bay, WI 54301-5026
(920) 448-3300 - phone
(920) 448-3426 - fax
inspmail@greenbaywi.gov
BUILDING PERMIT
APPLICATION
SHORT FORM
City, State, Zip:
City, State, Zip:
(Rev 6/20)
(check one)
(check one)
(check all that apply)
www.greenbaywi.gov
All fields must be completed before permit will be processed.
Project Address:
click to sign
signature
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click to sign
signature
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