Fillable NSF-2 New Single Family Permit Application NSF-2_New_Single_Family_Permit_Application

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NSF-2 New Single Family Permit Application NSF-2_New_Single_Family_Permit_Application

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FORM: NSF-2 / 10-07
CASH OR CHECK ONLY PLEASE
CITY OF LACEY
Community and Economic Development Department
420 College Street SE
Lacey, WA 98503
(
360) 491-5642
Construction Type:
OWNER:
Address: City: State: Zip:
Phone: Email:
Address: City: State: Zip:
Contractor's License No. Exp:
Phone: Email:
Address: City: State: Zip:
Exp:
Phone: Email:
Address: City: State: Zip:
Exp:
Phone: Email:
Address: City: State: Zip:
Exp:
Electrical Contractor:
Contractor's License No. City Bus. Reg.
DIMENSIONED SITE PLANS AND TWO DETAILED LANDSCAPING PLANS.
No. of Floors:
Garage sf:
Subdivision:
Project Address:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of
NEW SINGLE-FAMILY RESIDENCE PERMIT APPLICATION
General Contractor:
Plumb Contractor:
Parcel Number:
NOTE: THIS APPLICATION MUST BE ACCOMPANIED BY TWO SETS OF CONSTRUCTION PLANS,
TWO SETS OF THE ENERGY CODE APPLICATION (IF APPLICABLE), TWO SETS OF ACCURATE, FULLY
Building Footprint:
Applicant's Signature
Print Applicant's Name
Date
Phone Number:
Cell Phone:
Mech Contractor:
Contractor's License No.
the above described property will be in accordance with the laws, rules and regulations of the State of Washington.
CONTACT PERSON:
Project Value:
3rd Floor sf:
1st Floor sf:
Total Living & Gar:
Contractor's License No.
2nd Floor sf:
Email:
Phone Number:
City Bus. Reg.
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NSF-2 New Single Family Permit Application NSF-2_New_Single_Family_Permit_Application

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Completed 13 July 2020

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