VILLAGE OF RICHFIELD
BUILDING PERMIT
Includes: Hubertus & Colgate
PERMIT NO.
TAX KEY#
Project Address:
Project Owner’s Name: Project Owner’s Phone No.:
Project Description:
Project Owner’s Address (if different from above):
Contractor’s Name:
Contractor’s Address, City & Zip:
Contractor’s Phone No.: Contractor’s License Nos.:
Signature of applicant: Date:
The applicant agrees to comply with the Ordinances and with the conditions of this permit; understands that the issuance of the permit
creates no legal liability, express or implied of the Department or Inspector; and certifies that the above information is accurate. Have
Permit/Application number and address when requesting inspections. Call (262) 628-2260. Give at least 24 hours notice on all inspections.
Plumbing Contractor Name & Phone Number:
Electrical Contractor Name & Phone Number:
HVAC Contractor Name & Phone Number:
Area Involved:
Basement Sq. Ft.
Living Area Sq. Ft.
Garage Sq. Ft.
Other Sq. Ft.
Total
CONDITIONS OF APPROVAL
RECEIPT ESTIMATED COST OF CONSTRUCTION
PERMIT ISSUED BY MUNICIPAL AGENT:PERMIT FEES
Plan Review
Other
Permit
TOTAL
Name:
Date:
Certification No.:
Ck# Rec. By
Date $
$
4128 Hubertus Rd.
Hubertus, WI 53033
Phone: (262) 628-2260
Fax: (262) 628-2984
Email: inspector@richfieldwi.gov
Online payments, please click here. To see the online fee schedule, please click here and scroll down to "fees" on the building inspection page.
Pay Online
