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Document type

General residential construction / alteration application.

Your business name

Contractor license #

Job address

Jurisdiction (city / county)

Property owner

Scope of work

Valuation ($)

Parcel / APN

Occupancy type

Affected square footage

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APPLICATION FOR RESIDENTIAL BUILDING PERMIT

Authority Having Jurisdiction

Applicant / Contractor—

Contractor License #—

Job Address—

Property Owner—

Declared Valuation—

Parcel / APN—

Occupancy type—

Affected square footage—

Scope of Work

—

Signature of applicant

Date

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