Town of Mills Permit #_________________
704 Fourth Street / PO Box 789
Mills, WY, 82644 Fee $_________________
307-234-6679
Demolition Permit
DEMOLITION INFORMATION
ADDRESS:
DESCRIBE WORK BEING COMPLETED:
SINGLE FAMILY / RESIDENTIAL:
BUSINESS / COMMERCIAL:
DEMOLITION INSTRUCTIONS (Demolition Must Be Inspected Upon Completion To Ensure The Following Has Been Completed)
1. COMPLETE REMOVAL OF FOUNDATION AND PIERS, (IF APPLICABLE)
2. ALL UTILITIES HAVE BEEN TERMINATED PROPERLY, SHUT OFF AND TAGGED FOR FUTURE DEVELOPMENT.
3. SITE IS FREE FROM HAZARDOUS MATERIALS AND GENERALLY GRADED AND SLOPED TO CONFORM TO ADJACENT LOTS.
4. ALL DEMOLITION MATERIALS SHALL BE CONTAINED DURING DEMOLITION AND REMOVED ENTIRELY @ COMPLETION.
5. DEMOLITION SHALL BE COMPLETED WITHIN 60 DAYS.
OWNER INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
CELL:
CONTRACTOR INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
TELEPHONE:
CELL:
OR OWNER IS CONTRACTOR
APPLICANT SIGNATURE:
TOWN OFFICIAL
APPROVAL SIGNATURE:
APPROVAL DATE:
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