APPLICATION FOR CERTIFICATE OF OCCUPANCY/INSPECTION BUILDING PERMIT # ADDRESS/LOCATION OF PROPERTY:

Map

Parcel

Lot Number

SUBDIVISION: DATE REQUESTED FILED/READY FOR INSPECTION: CLOSING DATE ON PROPERTY: FIVE (5) DAYS NOTICE PRIOR TO CLOSING DATE IS REQUIRED ALL WORK AND SIGN-OFFS MUST BE COMPLETED WITHIN THIS TIME FRAME. A REINSPECTION FEE OF TWENTY DOLLARS ($20.00) WILL BE CHARGED IF THE STRUCTURE DOES NOT MEET ALL APPLICABLE CODES. APPLICANT SIGNATURE

Permit Issued to: Address: ROUTING

CONSERVATION PLANNING DPW-WATER METER SEWER CONNECTION



DPW MUST INDICATE THAT THE WATER METER HAS BEEN INSTALLED PRIOR TO SUBMITTAL OF THE OCCUPANCY/INSPECTION REQUEST

DPW SIGNATURE File: Application for OC form revised Jan 2007

Application for Certificate of Occupancy Inspection.pdf

DPW. SIGNATURE. File: Application for OC form revised Jan 2007. Page 1 of 1. Application for Certificate of Occupancy Inspection.pdf. Application for Certificate ...

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