Fillable Building Permit Application (City of Republic, Missouri)

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Building Permit Application (City of Republic, Missouri)

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The Building Permit Application (City of Republic, Missouri) form is 2 pages long and contains:

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  • 0 check-boxes
  • 48 other fields

Country of origin: US
File type: PDF

U.S.A. forms for City of Republic, Missouri

BROWSE CITY OF REPUBLIC, MISSOURI (MO) FORMS

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Revised 12/29/2020
Application Date:
Permit No:
Site Information
Site Address:
Legal
Description
(office use only)
PIN:
Lot Number:
Subdivision:
Zoning:
Owner Information
Name:
City:
State:
Email Address:
Phone Number:
Zip:
Design Professional
In Charge
Name (Contact Person):
City:
State:
Email Address:
Phone Number:
Zip:
Other Design
Professional
Name (Contact Person):
Name (Company):
City:
State:
Email Address:
Phone Number:
Zip:
Project Information
(please mark the
appropriate selection)
Commercial
Industrial
Multi-Family
Residential
Use Group(s):
Construction Type(s):
Number of dwelling units to be
included in finished project (if applicable):
Total Square Footage(s):
By signing this application form, I hereby acknowledge that the information I have provided is complete and accurate to the best of my
knowledge. Furthermore, I acknowledge my responsibility to conform to the applicable federal, state and local regulations pertaining to
the project described by this application and attachments. I also understand that this application will expire within 180 days of the date of
my signing, unless extended in writing by the Building Official.
Date
Name (please print)
Signature
BUILDS Department
Phone: (417) 732-3150
Email: permits@republicmo.com
Building Permit Application
New Commercial Building or Addition
Project Description:
Project Valuation: $
click to sign
signature
click to edit
GUARANTEE OF PAYMENT AGREEMENT
By signing this agreement, I acknowledge and accept full responsibility for payment to the City of
Republic for all fees and charges incurred by 3
rd
party consultant review and any/all fees related
to the review of drawings and specifications associated with this project.
Signature Date
Please print the following information for billing purposes:
Contact Name:
Business Name:
Billing Address:
Revised 12/29/2020
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signature
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Building Permit Application (City of Republic, Missouri)

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Completed 19 January 2021

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