Online Application

Name of Owner

First Name

Last Name

Business Phone

(###)

###

####

Personal Phone

(###)

###

####

Street Address

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Email

Address of Proposed Project

Address 1

Address 2

City

State/Province

Zip/Postal Code

Country

Federal Employers Identification Number (FEIN)

Unemployment Insurance Number (UIN)

Name of Contractor/s

List general contractor and all subs. Each must have their own BMEC (Building Materials Exemption Certificate). Use spread sheet provided to submit all contrators.

Estimated # of construction jobs this project will create.

Type & Style of Construction

General description of proposed project, including any rehabilitation / remodeling of existing structures, new construction, major paving or new equipment.

Building Size

Lot Size

Project Classification

After downloading the file please fill out the form with your information, save it and email it to us. Please mail the appropriate fee to:

Online Application

Location

Hours

Contact