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2586 Ordinance No. AN ORDINANCE TO ESTABLISH FEES FOR PERMITS AND INSPFC TIONS Al RESIDENTIAL RATES AND COMMERCIAL AND INDUSTRIAL RATES � WITHIN THE CITY LIMITS OF WEST MEMPHIS, ARKANSAS. BE IT ORDAINED BY THE CITY CODNC'IL OF THE CITY OF YYEST MEMPHIS. ARKANSAS: SECTION 1. ORDINANCE REPEAL: I hat Ordinance \n. 760, %1LIC1C Iv_ "ICIPm 1 passed and approved. I cbman I. 1973-and k o(IInanCC tis 7t) paned and upprt)v,cci. Februan 21. 1974: and ordinance No. 801. panned and appruvCLI. .March '_L 1974. Ihu Ordinance No. 959_ passed and apprn%ed. Apol �. 1979. he void and repealed. SECTION 2. DISTINCTION OF PERMIT FEES: Distinction ul Renidennal. Commercial.and Industrial permits_ plunthing. building sc%wr. %caner ser, ce line. and gaz permits shall he distinguished Residential at one rate: and_ ( UnlmtfClal and Industrial at snnihc- tate. Fhe determination of A,hctlm Residential. Commercial ur Industrial Shall me main: according r0 the present toning of the ( nN of est AlentphiS_thin the structure hcin_ pcnmitea n located. This location+hall be determined b} the udministrati%e authont� in the plumhine division. One (I 1 and two (2) fantiIN housing units on one (I ) lot shall be classilied residential. and. anv more Family housing units in it structure on one t 1) lot t i.c. epanment contple :il Inc classitied commercial SECTION 3. PERMITS: Punw lees le ietennintd Ls fl(`idCd ill ALlllhl"C t A �rSECTION 40 RFQEIRED In tccotdam c with Ordinance \,, = 1 I at % a%cn authorized agent Nilo nu-o& to cumuuct enial C her. ciliur. mo . den , nA t eha _ h% _. neeupane% of a building or ptrnCtnrC. of In crcet_ inSTal1. enlITT cc Ld ter. reptnr. smm c. c • -n ur replace am electrical pus.mechanical or plunking s,stcm. the Insttdlation t % hien is cetuatcJ IT, thi+ Code.nr to can't, an} such work to he done shall tirst make :gtphce bon m the bun b11ng official and obtain the required Penn, A pernvl shall not he valid nntll the tees prescn hec law lave heen paid. nor shall an amenumcnt to a pcimit TIC released until additional feesiJ any ha%e been paid. Each permit shall he paid in accorcianea unh the:Chedule estuhlished h, he applicahie governing bod% SECTION 5. PENALTIES FOR Y9OLA"LIONS: slit,, penton y omtingAno- «ne provision' n this ordinance nr mr. rule or regiula on esmhlishCd and prescribed ruder S%¢ninn, 105 or 109.1 of the Arkansas Pine 11iccenuon Cc 111L t'1)2 i shall hC lkIDiCC[ kt tine= !n et o Jame% with the Cite of West .Memphis Code of Orditsimc, Pan ! Sccuon - SECTION 6. YAT.IDITY CLALSF;: ll em action ,uh sccuan xcmcnc, chuu,e or phrase of this grdinunce it, for om reason held 10 he uncon,ti utiuual .)I OhI ia%al d.SnCh uneonstiwtinnalito or im-alidil, shall nor affect the reoaoder of rh,, ()rdinall" amd all _ ordinances or part,of ordntances m umtiict hereWilt me ll(rC he mpe:dcl i 11 ASSED AND APPROVED th . IZi _ ia. of M4f7.._Yt,.. cS..._.. _. Vla�ur K Clerk CITY OF WEST MEMPHIS BUILDING PERMIT FEES General Contractors must provide copies of their State of Arkansas Contractors License and City of West Memphis Business Privilege License Certificate of General Liability Insurance with the City of West Memphis as a Cc-Insured Three complete copies of all construction plans Commerchil/Multl-Pomlly Building Permit $0.15 per square foot Any commercial or residential structure which requires Arkansas State Board of Health approval Induslrlal Building Permit Requires Arkansas State Board of Health approval A fee of fifteen dollars shall be charged for a building permit for all buildings up to three hundred square feet of floor space,and the charge of five Cents per square foot of floor space for buildings up to and including fifty thousand square feet,and four cents per square foot over and above fifty thousand square feet,and one-half of one cent per square foot over and above five hundred thousand square feet,Including basement floors. RemodellefoReoairs 51.25 per 51,000 it,value Mln;mum of 545.00 Arkansas Construction Education Vroggm Permit Fee $0.50 oar 51,000 Value o`Construction Tax SEPARATE PERMITS ARE REQUIRED FOR THE AREAS BELOW All Sub.Contractors must provide copies of their State of Arkansas License in their area of expertise City of West Memphis Business Privilege License and State of Arkansas Contractors License If appropriate Plumbing Arkansas Plumbing Code Commercial$60 plus schedule per openings See chart for additional openings fee Schedule: Comr la P. Minimum Permit 56000 5-9 Openings 528.00 1O 14 Openings 536.00 152O Openings 5545.00 21.25Carries, 55200 2630Openings ;6400 These fees do moluds sewer and voter connection fees anmpoctfees.Arkansas State Board of Health approval required prior to the issuance of permit Backflow prevention required on all commercial and intlastrial construction. Electrical Arkansas Electrical Code Commercial$40 application fee per meter base 1`�-100 amps S3 2OO m 1200 amps S2 per rotamyn 12O1areas&over 5150 per 1OO amps P 1,11C.0 53 2"^-10" 51.50 each More than 10 51 each Heating&Air Conditioning Arkansas HVAC Code $40 each TyStem I-1 Manual&duct layout for each system must be attached Gas Arkansas Gos Code $40,00 for 4 openings plus 51.50 each opening remodeling 40.00 for 4 openings Finabe $45 for 1"250 LF plus$175 each additional 100 LF or portion thereof(500 LF=$50.25 Swimming Pool $75 minimum or$0.20 per square foot(16'x36'=5115.201 Storage Bultdid $45 minimum or 50.12 per square foot ✓ Signs 525 for Iv$5,000 plus 52 per$1,000 above$5.000 For allpermits:If construct;.,has begun prior to obtaining a permit,the perm t fee is automatically doubled Feinspeati.n:One reinspection is included to allow corrections to be made.If an additional inspection Is required because the necessary,repairs or changes have not been made,an additional fee of$75 must be paid prior to the Inspector making the third lnspectim, City Of West Memphis Commercial/Residential Building Permit Application 1 Story _lYk Story 2 Story Application is hereby made by the undersigned for the permit for the following construction. .LII Class of work: New Addition Remodel Total Square Feet: Estimated Cost: Fees for Building Permits (A) New Constructions and Additions to Existing Structures A Fee of$.12 a square foot with a minimum charge of$45.00 will be charged for each permit issued. (B) Remodeling of Existing Structures A fee of$1.25 per one thousand dollars of value with a minimum charge of$45.00 will be charged for each permit issued for remodeling of structures. (C) Other Types of Construction A fee of$1.25 per one thousand dollars of value with a minimum charge of$45.00 for each permit issued Arkansas Construction Education Program Permit Fee$.SO per$1,000 Value of Construction Tax.This is for commercial and industrial projects only. Located on Lot Block Subdivision Street Address: Building not to be less than Ft from the front line and Ft side. In addition to the above fees,subcontractors are required to obtain separate permits for ELECTRICAL, MECHANICAL, PLUMBING AND/OR GAS. The permit becomes null and void if construction work is not commenced within 6 months or if construction work Is suspended or abandoned for a period of 6 months at any time after work is commenced.I HEARBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND HAVE FOUND THE SAME TO BE TRUE AND CORRECT.ALL PROVISIONS OF LAWS AND ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLETED WITH WHETHER SPECIFIED HEREIN OR NOT.THE GRANTING Of A PERMIT DOES NOT PRESUME TO GIVE AUTHORITY TO VIOLATE OR CANCEL THE PROVISIONS OF ANY OTHER STATE OR LOCAL LAW REGULATING CONSTRUCTION.If application is granted,[/We agree to notify the building inspector or his representative when work is to be started and when all different types of inspections are to be made.INSPECTIONS TO BE MADE ARE AS FOLLOWS:SITE,FOOTINGS,SLAB,ROUGH PLUMBING,INTERIOR PLUMBING,TEMPORARY ELECTRICAL, ELECTRICAL,ELECTRICAL CONNECTION,GAS,MECHANICAL,FRAMING AND A FINAL INSPECTION. CONSTRUCTION WORK WILL NOT START UNTIL PERMIT APPROVED. Applicant: Date Mailing Address: Email Address: Phone: Permit k ♦rttYiYtttiiiiit YttlrttiiutaltrtrtiitYliiiiitt)littuMttsitiii#iittttt4##t!lilirtintti Residential Building Contractor's Number Insurance form Surety bond L SLAB PERMIT 1 CITY OF WEST MEMPHIS DATE STREET ADDRESS: LOT_ BLOCK SUBDIVISION OWNER CONTRACTOR FEE FOR SLAB PERMIT MINIMUM OF $40.00 FOR SLAB PERMIT VALUE OF SLAB PENALTY FOR VIOfATIO'3_ Any person or<oipolation, who shalt violate any of the provisions of this zoning ordinn ace or fail t, comply tnereaRet with any of the requirements thereof, sffstl be guilty of a misdemeanor also shalt be Mahle to a fine of not more than one hundred dottats t$100.001. Each day Sort, viotatton is perrnirted to exist shall constitute a separate offense. Notice; This permit becomes out are votd if work of construction authorized is not started within 6 months of if construction is xfspeuded or abandoned fol a pef ro . of 6 months St any time after works started_ If appbcatign is granted ag ee to not ry the 6,11111 ¢ his ep c_evtative emer-woh is u ee started and request a site inspection. i hereby celtify that- nave read and exafnined this stet Sbc and found the same to be true and correct. Ar.piov,,,f, ni laws and ordmanccs 3o,,in,this type o1 v , k will be complied with whe'her specihe d i , not The v aneng ef a fennir dde o o. _surae fo givo autnority to violate or cancel the pro b,s of a y the state qr told, taw regulaGn4 co sVUCtion. APPLICANT PHONE EMAIL ADDRESS MAILING ADDRESS PERMIT C ELECTRICAL PERMIT CITY OF WEST MEMPHIS DATE Street ADDRESS LOT BLOCK SUBDIVISION_-_ OWNER/CONTRACTOR CLASS OF WORK:-NEW-ADDITION-ALTERATION-REPAIR ELECTRICAL PERMIT COST APPLICATION FEE: RESIDENTAL $30.00 _ APARTMENT PER M. BASE $40.00 COMMERCIAL/INDUSTRIAL $40.00 _ (PER METER BASE) COMMERCIAL MINIMUM $40.00 SERVICE FIRST - 100 AMPS $ 3.00 _ ENTRANCE: 200 AMPS TO 1,200 PER 100 AMPS $ 2.00 OVER 1,201 AMPS PER 100 AMPS $ 1.50 CIRCUITS: FIRST CIRCUIT $ 3.00 _ 2"a thru 1 O'° CIRCUITS. EA. $ 1.50 More than 10 CIRCUITS EA. $ 1.00 TOTAL FEES NOTES: ABOVE PERMIT FEES INCLUDE ROUGH AND FINAL ELECTRICAL INSPECTIONS Arkansas Construction Education Program Permit Fee E.50 Per$1,000 Value of Construction Tax.This Is for commercial and industrial Qroiects only. I AGREE TO PERFORM THE WORK ABOVE IN ACCORDANCE WITH CITY AND STATE REGULATIONS CONTRACTOR TELEPHONE NO. EMAIL ADDRESS LICENSE NO. CCITY PRIVILEGE LICENSE N0. COMMERCIAL ELECTRICAL PERMIT CITY OF WEST MEMPHIS DATE STREET ADDRESS LOT BLOCK SUBDIVISION OWNER CONTRACTOR CLASS OF WORK:—NEW----ADDITION—ALTERATION—REPAIR ELECTRICAL PERMIT COST APPLICATION FEE: APARTMENT PER M. BASE $40.00 —_--- COMMERCIAL/INDUSTRIAL _COMMERCIAL/INDUSTRIAL $40.00 (PER METER BASE) COMMERCIAL MINIMUM $40.00 SERVICE FIRST - 100 AMPS $ 3.00 ENTRANCE: 200 AMPS TO 1,200 PER 100 AMPS $ 2.00 OVER 1,201 AMPS PER 100 AMPS $ 1.50 _ CIRCUITS: FIRST CIRCUIT $ 3.00 _ 2°d thru 10°^ CIRCUITS, EACH S 1.50 More than 10 CIRCUITS EACH $ 1.00 TOTAL FEES NOTE: ABOVE PERMIT FEES INCLUDE ROUGH AND FINAL ELECTRICAL INSPECTIONS. I AGREE TO PERFORM THE WORK ABOVE IN ACCORDANCE WITH CITY AND STATE REGULATIONS. CONTRACTOR TELEPHONE NO. EMAIL ADDRESS LICENSE NO. CITY PRIVILEGE LICENSE NO. PERMIT C PLUMBING PERMIT CITY OF WEST MEMPHIS DATE ADDRESS LOT BLOCK SUBDIVISION OWNER CONTRACTOR FEE SCHEDULE: RESIDENTIAL COMMERCIAL MINIMUM PERMIT: $45.00 $60.00 6.90PENINGS $23.00 $28.00 10-14 OPENINGS $31.00 $36.00 15.20 OPENINGS $39.00 $45.00 21-25 OPENINGS $47.00 $52.00 26-30 OPENINGS $55.00 $64.00 31 OVER $1.00 EACH MINIMUM CHARGE FOR RESIDENTIAL PERMIT INCLUDES 1-4 OPENINGS. $45.00 MINIMUM CHARGE FOR COMMERCIAL PERMIT INCLUDES 14 OPENINGS. $60.00 PERMIT COST $ THE ABOVE FEES DO NOT INCLUDE SEWER AND WATER CONNECTION FEES GAS PERMIT Class of Work. New _Alteration — Addition—Repair Number of outlets. Gas Test NEW CONSTRUCTION: THIS INCLUDES GAS PIPING, 4 OUTLETS, PRESSURE INSPECTION. ROUGH OUT INSPECTION AND FINAL GAS TEST ONLY $ 30.00 $ 40.00 ADDITIONAL OUTLETS- EACH. S 1.53 TOTAL $ I AGREE TO PERFORM THE WORK ABOVE IN ACCORDANCE WITH CITY AND ARKANSAS STATE REGULATIONS. CONTRACTOR PHONE LICENSE # EMAIL ADDRESS PERMIT C WATER PERMIT CITY OF WEST MEMPHIS DATE-ADDRESS- LOT-BLOCK DDRESSLOTBLOCK SUBDIVISION OWNER CONTRACTOR FEE SCHEDULE: RESIDENTIAL COMMERCIAL MINIMUM PERMIT: $10.00 520.00 ADDITIONAL TRIP $10.00 $10.00 NEGLIGENCE TRIP $20.00 $20.00 LICENSE IS REQUIRED FOR PERMIT PERMIT COST $ WATER INSPECTIONS INCLUDE. 1, DITCH INSPECTION 2. ROUHG-IN 3. FINAL SEWER PERMIT FEE SCHEDULE: RESIDENTIAL COMMERCIAL MINIMUM PERMIT: $20.00 $25.D0 ADDITIONAL TRIP $10,00 $10.00 NEGLIGENCE TRIP $20.00 $20.00 LICENSE IS REQUIRED FOR PERMIT PERMIT COST $ SEWER INPSECTIONS MADE. 1. DITCH INSPECTION 2. ROUGH-IN 3. FINAL I AGREE TO PERFORM THE WORK ABOVE IN ACCORDANCE WITH CITY AND ARKANSAS STATE REGULATIONS. CONTRACTOR PHONE LICENSE # EMAIL ADDRESS PERMIT L HVAC Permit CITY OF WEST MEMPHIS tDATE ADDRESS }fir LOT BLOCK SUBDIVISION__ OWNERICONTRACTOR SIZE OF AIR CONDITIONING SYSTEM _TONS CLASS OF WORK.-NEW-ADDITION-ALTERATION-REPAIR PERMIT FOR NEW CONSTRUCTION MECHANICAL PERMIT FEE FOR 5 TONS or Less MECHANCIAL SYSTEM $40.00 _ 6 TONS UP TO 10 TONS $30.00 FOR EACH ADDITIONAL TON OVER 10 TONS $5.00 Total: NOTE: Arkansas Construction Education Program Permit Fee $.50 per$1,000 Value of Construction Tax This is for commercial and industrial projects only. J-1 Manual and duct layout must be attached to the permit application I AGREE TO PERFORM THE WORK ABOVE IN ACCORDANCE WITH CITY AND STATE REGULATIONS. CONTRACTOR TELEPHONE NO. EMAIL ADDRESS LICENSE NO. CITY PRIVILEGE LICENSE NO. L FENCE PERMIT APPLICATION CITY OF WEST MEMPHIS DATE STREET ADDRESS LOT BLOCK SUBDIVISION OWNER: CONTRACTOR: You will need ONE copy of plot plan with work to be done drawn on plot plan with the dimensions Work drawn does not have to be exact, but needs to be reasonably close. FEE FOR FENCE PERMIT Value of fence A FEE OF $45.00 FOR THE FIRST 250 LF. PLUS $1 .75 EACH ADDITION 100 LF (OR PORTION THEREOF) OR MINIMUM OF $45.00 FOR A Fence I hereby certify that I have read and examined this application and found the same to be true and correct. All provisions of laws and ordinances governing this type or work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local taw regulating construction. If application is granted, I agree to notify the Building Inspector or his representative when work is to be started and request a site inspection. Fence contractor is responsible for securing all permits. Prior to starting, a registered engineer must stake property lines. All fences must have a 3 foot clear opening to allow utility or drainage easement to be accessed. APPLICANT PHONE MAILING ADDRESS: Permit # STORAGE BUILDING APPLICATION CITY OF WEST MEMPHIS - DATE Street ADDRESS: LOT BLOCK SUBDIVISION OWNER CONTRACTOR FEE FOR STORAGE BUILDING PERMIT S.12 PER SQUARE FOOT OR MINIMUM OF $45.00 FOR STORAGE BUILDING PERMIT VALUE OF SHED---- — CONSTRUCTION WORK WILL NOT START UNTIL PERMIT APPROVED. PENALTY FOR VIOLATION: Any person or corporation, who shall violate any of the provisions of this zoning ordinance or fail to comply thereafter with any of the requirements thereof, shall be guilty of a misdemeanor and shall be liable to a fine of not more than one hundred dollars (S10o.00). Each day such violation Is permitted to exist shall constitute a separate offense. Notice: This permit becomes null and void if work or construction authorized is not started within 6 months or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started, If application is granted, I agree to notify the Building Inspector or his representative when work is to be started and request a site inspection. I hereby certify that I have read and examined this application and found the same to be true and correct, Alt provisions of laws and Ordinances governing this type or work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction. NOTE: Arkansas Construction Education Program Permit Fee S.50 per $1,000 Value of Construction Tax. This is for commercial and industrial projects only. Applicant Phone Mailing Address Email Address PERMIT C DRIVEWAY PERMIT CITY OF WEST MEMPHIS DATE STREET ADDRESS:- LOT BLOCK ' !MDIVISION OWNER____ CONTRACTOR _ ___-- FEE FOR DRIVEWAY PERMIT MINIMUM OF $40.00 FOR DRIVEWAY PERMIT VALUE OF Driveway PENALTY FOR VIOLATION: Anv penor or cop po;a[ion. who shalt vfola0,any of rhe proatssons o' this zomeg ordinance cr fa:t to compty thereaher with any of the:eyt:iremen[s [hereof, shah be guilty cf a misdemeanot and shalt be liaole to a floe of no[ mole than one hundred in Iat I$100.001. Each day such iolation Is petri trod to exist siiati conshiol a separ ate o`fense. Notice This per irl bero n os milt alt add wIII, o constr,c or al so!Ized Is aof start,^ within 6 months o1 if co stroctior o moll 9s u,p,ndeJ oraoaidol e I for a perlid of 6 months at any time atter well, is Itarted. I application is granted ay e, to ! oni, -1). ,uslNi e hep-ctI, v '.i, e,aesenla[we r n ,I , I, be Sia Ked and requests 0. nspertion h; ebt ;(Fi C•a[I have raa 'and exomvred ti1is as l ztioe aro bund to,,sane ;o be t r ,. nll i rw tions i, a s and ora np, a.verning this type or�+oh ,,1 be complied with c het s,,,,bed he—m r: Ir I The granting or a ,"i does not presume to x,, "'loamy to violote o: '_ _I the pro r......of �. ger afar, n+loo I Ite¢olarin o st y+lmr_ Applicant_____ Phone _ Mailing Address Email Address Permit C Backflow Preventer/Sprink ler System Permit CITY OF WEST MEMPHIS DATE Job Address LOT BLOCK SUBDIVISION OWNER CONTRACTOR Sprinkler System Value $ Install Backflow Preventer $35.00 TOTAL THIS MUST BE CHECKED BY AN ARKANSAS LICENSED BACKFLOW TESTER. I AGREE TO PERFORM THE WORK ABOVE IN ACCORDANCE WITH CITY AND STATE REGULATIONS. TELEPHONE NO, EMAIL ADDRESS LICENSE NO CITY PRIVILEGE LICENSE NO. Permit C DEMOLITION RESIDENTAL/COMMERCIAL APPLICATION CITY OF WEST MEMPHIS DATE Street ADDRESS: LOT __B LOC K____SU8DIV I SIGN OWNER _ CONTRACTOR -------, NOTE:Arkansas Construction Education Program Permit Fee $.50 per $1,000 Value of Construction Tax. This is for commercial and industrial projects only. FEE FOR DEMOLITION RESIDENTIAL PERMIT $.06 PER SQUARE FOOT OR MINIMUM OF $45.00 FOR DEMOLITION RESIDENTIAL ESTIMATE COST Notice_ This permit becomes not and void if work or construction authorized is not started within 6 months or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. If application 1s granted, I agree to notify the Building Inspector or his representative when work is to be started and request a site inspection. I hereby certify that I have read and examined this application and found the same to be true and correct. Ali provisions of laws and ordinances governing this type or work will be complied with whether specified herein or not The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction. Applicant Phone Email Address: Mailing Address PERMIT SIGN PERMIT CITY OF WEST MEMPHIS DATE: STREET ADDRESS: LOT Block SUBDIVISION OWNER CONTRACTOR FEE FOR SIGN PERMIT $0.75 PER SQ.FT PER SIGN (FOR FRONT B BACK) OR MINIMUM OF $45.00 PER SIGN PERMIT Value of Sign $ CONSTRUCTION WORN WILL NOT START UNTIL PERMIT APPROVED PENALTY FOR VIOLATION: Any person or corporation who shall violate any of the provisions of this zoning ordinance or fail to comply thereafter with any of the requirements thereof, shall be Guilty of a misdemeanor and shall be liable to a fine of not more than one hundred dollars ($100.00). Each day such violation is permitted to exist shall constitute a separate offense. Notice: This permit becomes null and void if work or construction authorized is not started within 6 months or if construction or work is suspended or abandoned for a period of 6 months at any time after work is started. If application is granted, I agree to notify the Building Inspector or his representative when work is be started, and request a site inspection. I hereby certify that I have read and examined this application and found the same to be true and correct. All provisions of laws and ordinances governing this type or work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction. APPLICANT PHONE EMAIL ADDRESS MAILING ADDRESS PERMIT SWIMMING POOL PERMIT APPLICATION CITY OF WEST MEMPHIS DATE_ STREET ADDRESS _ Lot Block___SUBDIVISION OWNER CONTRACTOR_ FEE FOR SWIMMING POOL PERMIT A FEE OF .20 PER SQ. FOOT (16X36) = 115.20 OR MINIMUM OF $75.00 FOR A SWIMMING POOL $ VALUE OF SWIMMING POOL Notice: In addition to the above fees, sub-contractor will be required to obtain separate permit for electrical and/or plumbing permits. 1 hereby certify that I have read and examined this application and found the same to be true and correct. All provisions of laws and ordinances governing this type or work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local law regulating construction. If application is granted, I agree to notify the Building Inspector or his representative when work is be started, and when all different types of Inspections are to be made. APPLICANT PHONE MAILING ADDRESS: Permit # C RECEIVED �1 z/ /// gym Oet e By �i ,