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New/Addition Building Permit Application
Project Type
Number of Units
Fire Alarm
Fire Suppression
Application Information
Project Address*
Suite #
Applicant Name*
Address
Applicant E-mail
Applicant Phone
Applicant Fax
Property Owner (if different)
Owner Address*
Owner E-mail
Owner Phone
Owner Fax
Residential
Commercial
Industrial
New
Other
Work Consists Of
Construction Type
Start Date
Estimated Completion Date
Building Contractor
If Contractor is not needed, select N/A
Name
Address
WI Qualifier #
WI Contractor #
WI Lead #
Phone #
E-mail Address
Electrical Contractor
If Contractor is not needed, select N/A
Name
Address
WI Master Electrician License #
WI Electrical Contractor #
Phone #
E-mail Address
Plumbing Contractor
If Contractor is not needed, select N/A
Name
Address
WI Master Plumber License #
Air Admittance Valves
Phone #
E-mail Address
Heating Contractor
If Contractor is not needed, select N/A
Name
Address
WI HVAC Contractor #
WI HVAV Qualifier #
Phone #
E-mail Address
Suppression Contractor
If Contractor is not needed, select N/A
Name
Contractor #
Address
Phone #
E-mail Address
Fire Alarm Contractor
If Contractor is not needed, select N/A
Name
Contractor #
Address
Phone #
E-mail Address
Square Feet
Basement
1st Floor
2nd Floor
Deck
Porch
Garage
Other
Total Square Foot
Cost of Construction
Total Cost of Construction
Electrical Cost
Plumbing Cost
HVAC Cost
Total
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
REQUIRED INSPECTIONS (WHERE APPLICABLE): FOOTING; FOUNDATION; ROUGH; INSULATION; FINAL
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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