Fillable COMMERCIAL ROOFING/SIDING PERMIT APPLICATION FORM (City of South Bend)

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COMMERCIAL ROOFING/SIDING PERMIT APPLICATION FORM (City of South Bend)

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The COMMERCIAL ROOFING/SIDING PERMIT APPLICATION FORM (City of South Bend) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for City of South Bend

BROWSE CITY OF SOUTH BEND (IN) FORMS

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COMMERCIAL ROOFING/SIDING PERMIT APPLICATION FORM
PROPOSED PROJECT ADDRESS:
Address
City
Zip
ZONING:
OVERLAY/NNZO:
☐ ☐
HISTORIC DISTRICT:
☐ ☐
Yes No
Yes No
PROPERTY OWNER:
PHONE NUMBER:
EMAIL:
MAILING ADDRESS:
Address
City
State
Zip
PROJECT COST:
$
$
$
ROOF TEAR-OFF
ROOF OVERLAY
SIDING
BUILDING
CONTRACTOR:
OR
OWNER AS CONTRACTOR
PHONE:
EMAIL:
ADDRESS:
Address
City
State
Zip
*All contractors must be licensed and/or registered with our department. For more information on this go to
http://www.southbendin.gov/government/content/contractor-licenses-0
*Application must be signed below
I certify the above to be a true and accurate to the best of my knowledge.
APPLICANT SIGNATURE
DATE
PRINT NAME
ORG/BUSINESS OR OWNER
PHONE
EMAIL
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COMMERCIAL ROOFINGSIDING PERMIT APPLICATION FORM (City of South Bend)

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Completed 16 July 2020

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