Chuck
Wooley
Building Official
PLUMBING PERMIT
OWNER
INFORMATION
Owner
Name:
______________________________________________________________________________
Address:
____________________________________________
City:
________________GA
Zip:
__________
Phone:
__________________________
Email:
____________________________________________________
Name
of
Company:
_________________________________________________________________________
Main
Contact:______________________________________________________________________________
Address:_____________________________________________
City:_________________GA
Zip:________
Contact
Phone:___________________________________Email:____________________________________
CONTRACTOR
INFORMATION
Business
License
#_______________________________
State
License
#_____________________________
(Copy
of
business
license
and
certification
card
if
applicable
must
be
provided.)
APPLICATION
Permit # _______________________ Fee ___________________ Date _________________________________
OFFICE USE ONLY
Subdivision:
_________________________________________
Lot
#:
__________
Parcel:
_______________
Applicant's
Signature:
_____________________________________________________
Date:
____________
The
Greene
County
Board
of
Assessors,
in
accordance
with
Ga.
Law
must
give
reasonable
notice
to
property
owners
prior
to
making
a
site
visit.
Notice
is
hereby
given
that
a
representative
of
the
appraisal
staff
will
be
listing
new
construction
from
active
building
permits
for
changes
and
improvements
which
have
been
made
to
the
property.
PROPERTY INFORMATION:
Address of project: ____________________________________ City:_________________GA Zip:__________
Subdivision:__________________________________________ Lot #: ___________ Parcel: _______________
WORK
PERFORMED:
$50
Applicant's
Name:
________________________________________________________________________
Gas Lines
New Service
Replacement
Water Heater: Gas Electric Quantity________
Water Lines
Greene County Building and Zoning Department
1034 Silver Dr., Ste 103, Greensboro, GA 30642 Telephone - (706) 453-3333 - FAX (706) 453-2579
www.greenecountyga.gov/building
