CITY OF ITALY
BUILIDNG PERMIT APPLICATION
Applicant and Project Information
Date
*
-
Month
-
Day
Year
2 digit month, 2 digit day, 4 digit year
Date
Project Address
*
Name of Applicant/Contractor
*
Name and Address of Owner
*
Phone Information
*
Please enter a valid phone number.
Format: (000) 000-0000.
Email of Applicant
*
example@example.com
Describe Your Project - Scope of Work
*
Square Footage of Project
*
Valuation of Work ($)
*
Signature
*
Submit Application
Submit Application
Should be Empty: