Fillable Owner Permit Valuation Form 06 2017 (Mobile County Commission)

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Owner Permit Valuation Form 06 2017 (Mobile County Commission)

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The Owner Permit Valuation Form 06 2017 (Mobile County Commission) form is 1 page long and contains:

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Country of origin: US
File type: PDF

U.S.A. forms for Mobile County Commission

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Public Works Engineering Manager
R. Neal Howard, P.E.
Public Works Superintendent
Theodore H. Lawson
Public Works Assistant Superintendent
Richard H. Crist, P.L.S.
Inspection Services Director
Thomas J. Waters, CFM
Inspections Engineering Manager
Matthew Barclift, P.E., CFM
Facilities Engineering Manager
Tyler Martin, P.E.
Building Maintenance Superintendent
George E. Oaks
Director, Public Safety Communications
Eric M. Linsley
MOBILE COUNTY PUBLIC WORKS
Inspection Services ∙ 1110 Schillinger Rd North ∙ Mobile, Alabama 36608
Phone: (251) 574-3507 ∙ Fax: (251) 574-3509 ∙ www.mobilecountypublicworks.net
Date: _________________________
Property Address: ______________________________________________________________________
Permit Type: Electrical __________ Plumbing __________ Roof __________ Building ___________
Owner: ______________________________________________________________________________
Phone: _____________________________ Email: _______________________________________
Description of Work: ___________________________________________________________________
_____________________________________________________________________________________
_____________________________________________________________________________________
Value, to include labor, materials, etc. $_________________________
Fee for work on single family dwelling or duplex = (0.005) x contract cost ($30 minimum)
______________________________________________________________________________
Print Name of Owner/Permit Holder
______________________________________________________________________________
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Owner Permit Valuation Form 06 2017 (Mobile County Commission)

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Completed 18 July 2020

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