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MISC Building Permit Application
Project Address
Suite or Unit
Project Type
Total Square Foot
Application Information
Applicant*
Address
Applicant E-mail
Applicant Phone
Applicant Fax
Property Owner (if different)
Owner Address
Owner Email
Owner Phone #
Owner Fax
Residential
Commercial
Industrial
BLDG:
Alteration
Repair
Fence
Pool
Shed
Work Consists Of
Start Date
Estimated Completion Date
Building Contractor
If Contractor is not needed, select N/A
Name
WI Qualifier #
WI Contractor #
WI Lead #
Address
Phone #
E-mail Address
Electrical Contractor
If Contractor is not needed, select N/A
Name
WI Master Electrician #
WI Electrical Contractor #
Address
Phone #
E-mail Address
Plumbing Contractor
If Contractor is not needed, select N/A
Name
WI Master Plumber License #
Address
Phone #
E-mail Address
Heating Contractor
If Contractor is not needed, select N/A
Name
WI HVAC Contractor #
WI HVAC Qualifier #
Address
Phone #
E-mail Address
Comments
I agree to comply with all applicable codes, statutes and ordinances and with the conditions of this permit, understand that the issuance of the permit creates no legal liability, express or implied, on the city, and certify that all the above information is accurate. I expressly grant the building inspector, or the inspector’s authorized agent, permission to enter the premises for which this permit is sought at all reasonable hours and for any proper purpose to inspect the work which is being done.
Print Name
Date
A City of Middleton representative will contact you to request the balance of the information required to process this permit.
Please note that the contractor code is required.
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