Enter Request
Date*
Owner / Occupant*
Permit Type*
Discription*
Type of Construction*
Number of Bedrooms*
Building Dimension
Project Cost*
Square Feet - Finished
Square Feet - Unfinished
Type of Heating*
Commercial/Residential Group
Site Address*
City/State/Zip*
Township*
Subdivision
Parcel ID Number (PIN)
Phone*
E-Mail Address*
Other Restrictions*
Directions to the Job Site*
Contractor Information*
Lein Agent Information (projects over $30,000)
(*) Required Fields


*Special Note* Do not use special symbols such as commas "," periods "." and dollar signs "$" in the Cost and Square Footage fields. Doing so will prevent you from submitting the application.