Fillable File AND CONSTRUCTION DEBRIS DUMPING (Town of Secaucus, New Jersey)

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File AND CONSTRUCTION DEBRIS DUMPING (Town of Secaucus, New Jersey)

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TOWN OF SECAUCUS
CONSTRUCTION
DEPARTMENT
MUNICJ[JE'AL GOVEJRNMENT CENTER
(20Jl)330-2027
CERTIFICATION
BUILDING
AND CONSTRUCTION DEBRIS DUMPING
PERMIT#
DATE ISSUED:
EXPIRES:
HOMEOWNER'S INFORMATION:
NAME:
ADDRESS:
PHONE# ___________________ _
CONTRACTOR'S INFORMATION:
NAME:
COMPANY:. __________________ _
ADDRESS:
.
DUJIAPSTER COMPANY: ______________ _
PHONE#
I hereby certify that all construction debris related to my pennit, will be disposed ·
at:
Fee:
$75.00 (Seven days) Paid
Received by:
Applicant: ·
/ cash
/check#
Date:
Date:
Carl Leppin Ill
Construction Official
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File AND CONSTRUCTION DEBRIS DUMPING (Town of Secaucus, New Jersey)

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Completed 18 July 2020

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