Application For Building Permit Form - City Of Walker
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4CITY OF WALKER
BUILDING/ZONING DEPARTMENT
4243 REMEMBRANCE RD NW
WALKER, MI 49534
(616) 791-6858
(616) 791-6881 FAX
APPLICATION FOR BUILDING PERMIT
1.) LOCATION OF BUILDING
ADDRESS
CITY
COUNTY
ZIP CODE
BETWEEN
AND
(cross street)
(cross street)
a. IDENTIFICATION: OWNER OR LESSEE
NAME
TELEPHONE NO.
ADDRESS
CITY
ZIP CODE
2.) CONTRACTOR
NAME
TELEPHONE NO.
ADDRESS
CITY
STATE
ZIP CODE
BUILDERS LICENSE NO.
EXPIRATION DATE
**THIS FORM MUST BE SUBMITTED A SITE PLAN INDICATING LOCATION OF THE PROPOSED POOL
IN REALTION TO THE ADJACENT LOT LINES, BUILDINGS, DRIVEWAYS, AND SEPTIC
TANK SYSTEMS ALSO AS INDICATED A SEPARATE ELECTRICAL PERMIT IS REQUIRED
"Section 23a of the State Constructions Codes Acts of 1972, Act NO. 230 of Public Acts of 1972, being Section 125.152a of the
Michigan Compiled Laws, prohibits a person from conspiring to circumvent the licensing requirements of this State relating to
persons who perform work on residential building or residential structure. Violators of Section 23a are subject to civil fines."
3.) SUB-CONTRACTORS:
NOTE: SEPARATE APPLICATIONS MUST BE COMPLETED FOR
ELECTRICAL, AND MECHANICAL
a) ELECTRIC _______________________________________
TELEPHONE ____________________________________
ADDRESS _______________________________________
b) HEATING/AC _____________________________________
TELEPHONE____________________________________
*REQUIRED
ONLY IF GAS TO HEAT POOL IS INSTALLED
ADDRESS _______________________________________
4.) PROJECT DESCRIPTION:
COMMERCIAL
RESIDENTIAL
a)
SWIMMING POOL b)
HOT TUB
c)
SPA
d)
DECK
BRIEF DESCRIPTION OF PROJECT:
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