Fillable Re-Roofing Permit 704 Fourth Street / PO Box (Town of Mills)

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Re-Roofing Permit 704 Fourth Street / PO Box (Town of Mills)

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Country of origin: US
File type: PDF

U.S.A. forms for Town of Mills

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Town of Mills Permit #_________________
704 Fourth Street / PO Box 789
Mills, WY, 82644 Fee $_________________
307-234-6679
Permit Issued Subject To Provisions of Town Ordinance
Re-Roofing Permit
PROPERTY INFORMATION
OWNER:
ADDRESS:
CITY:
STATE:
TELEPHONE:
CELL:
PERMIT INFORMATION
This Roofing Permit □ SINGLE-FAMILY, DUPLEX OR TOWNHOUSES (RESIDENTIAL ONLY) □ MIXED-USE
Involves: (Select One) □ MULTI-FAMILY (RESIDENTIAL ONLY) □ COMMERCIAL OR INDUSTRIAL (NON RESIDENTIAL)
This Roofing Permit □ RE-ROOF OF AN EXISTING BUILDING
Relates To: (Select One) □ ALTERATION OR ADDITION TO AN EXISTING BUILDING
Has a Building Permit Been Obtained for this Project? : □ YES □ NO □ NOT REQUIRED PERMIT #
CHECK ALL THAT APPLY:
□ HOUSE □ GARAGE □ PORCH/PATIO □ SHED □ OTHER______________________________________
TOTAL SQUARE FOOTAGE: _______________________ NO. OF SQUARE _____________________ VALUATION $ ____________________
TYPE OF ROOFING MATERIAL:
□ ASPHALT □ TILE □ METAL □ MEMBRANE □ WOOD □ OTHER__________________________
IF ANY ROOFTOP MECHANICAL UNITS ARE TO BE ADDED IN CONJUNCTION WITH THE RE-ROOF, A MECHANICAL PERMIT IS REQUIRED.
DESCRIPTION OF WORK (IF OTHER THAN A COMPLETE RE-ROOF):
IF EXISTING ROOF HAS TWO OR MORE LAYERS OF ANY TYPE OF ROOF COVERING, ALL LAYERS OF ROOFING MUST BE REMOVED
ROOF MUST MEET MINIMUM REQUIREMENT OF 90 MPH WIND RESISTANCE AND 90 MPH MANUFACTURER’S WARRANTY
CONTRACTOR INFORMATION
NAME:
ADDRESS:
CITY:
STATE:
ZIP CODE:
TELEPHONE:
CELL:
OR □ OWNER IS CONTRACTOR
APPLICANT SIGNATURE:
APPLICATION DATE:
TOWN OFFICIAL
APPROVAL SIGNATURE:
APPROVAL DATE:
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Re-Roofing Permit 704 Fourth Street PO Box (Town of Mills)

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Completed 31 January 2021

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