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2. Owner
3. Owner Phone Number
5. Applicant
6. Applicant Phone Number
7. E-Mail Address*
   *If preferred method of contact
9. Contractor
11. Site Address
13. Mail Permit To
14. Building Type
18. Work To Be Performed

    1. Vinyl Siding
    2. Wood Siding
    3. Brick Work
    4. Stone
    5. Stucco/System
    6. Hardboard
    7. Fascia
    8. Soffit
    9. Gutter Work
    10. Window Trim
    11. Window Replacement*
    12. Metal Siding To Be Reviewed For Code Compliance
    13. Other

    *This permit only allows same size, same type replacement windows. Size changes, type changes, rough opening changes, sill height changes, additional windows or window elimination REQUIRE A BUILDING PERMIT & PLAN REVIEW.
19. (If other, please explain)
21. __I__ HEREBY MAKE APPLICATION TO DO AND PERFORM SAID WORK AND CONSTRUCT SAID PROJECT AS DESCRIBED IN THE FOREGOING; AND __I__ AGREE TO COMPLY WITH THE ORDINANCES OF THE CITY OF PONTIAC IN THE PROSECUTION OF THE SAME. IN CASE THE PERMIT ABOVE IS GRANTED, __I__ DO HEREBY IN CONSIDERATION THEREOF, GUARANTEE TO SAID CITY OF PONTIAC THE COMPLETE FULFILLMENT OF THE ABOVE AGREEMENT ON THE PART OF SAID ___OWNER/CONTRACTOR/AGENT___.
23. Estimated Valuation
24. ** Please note that a fee will be required. You may call with a Credit Card Number, send a check/cash, or stop into City Hall to pay for your fee. Your fee total will be sent with the permit.
26. eSign- First Name
27. eSign- Last Name
28. Date
30. Upload Files Here
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32. 1. Receive an email copy of this form.
33. Email address

    This field is not part of the form submission.

34. Submit

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