City of Morgantown Application for Building Permit
Application Date
___/___/____
Type of Work: Electrical Plumbing Demo
Deck Mechanical Grading Asbestos
Remodel or Repair Shed Other
Is Applicant
Owner?
(Y/N)
Parcel Type: Residential Rental/ Commercial Industrial
PROPERTY INFORMATION:
Street Address Where Work is being done:
Owners Address (if different from above address):
Contractors Business Name
SCOPE OF WORK TO BE DONE:
Detailed Description of Work:
MUST ATTACH DETAILED SITE PLAN YES NO Est. Value of Work $
I here by certify that I am the owner of record of the named property, or that the proposed work is authorized by the owner of record and that I have been authorized by
the owner to make this application as his authorized agent and I agree to conform to all applicable laws of this jurisdiction. In addition, if a permit for work described in
this application is issued, I certify that the code official or the code official’s authorized representative shall have the authority to enter areas covered by such permit at
any reasonable hour to enforce the provisions of the code(s) applicable to this permit.
SIGNATURE OF APPLICANT ADDRESS OF APPLICANT PHONE
PRINT NAME: