{[PNAME]}
{[ADDR]}
{[CITY]}, {[STATE]} {[ZIP]}
{[APHONE]}
{[AWEBSITE]}
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  • Applicant
  • Project
  • Sign Details
  • Certification
Email
Cell #
Who is the primary contact person for this project. e.g. the property owner, a project supervisor or site foreman
Cost of Contract *
Name
Responsible Person Information
Wheeling License
General Contractor Information
Email
Name
City
Name
Business Name (if applicable)
Address
If this application is being made on behalf of the owner, provide the applicant's details.
ZIP
State
Phone #
Email
Additional Contractors
Property Owner Information
Address
West Virginia License
City/State/ZIP
Phone #
Signage
Project Information
Is this property in a flood zone?
Work Site Unit
Work Site
Zoning Approved
If so, since when?
Smoke/CO Upgrade
Is building vacant?
Electrical Service
Tax Map & Parcel ID
Cost of Construction
Describe the work to be done in this project
Property Type
Square Feet
Is asbestos present?
Sign Details
Type Full Name :
Sign With Hand
Electrical
Applicant Signature
I hereby certify that I am the owner of record of the named property, or that the proposed work is authorized by the owner of record and that I have been authorized by the owner to make this application as his authorized agent and I agree to conform to all applicable laws of this jurisdiction. In addition, if a permit for work described in this application is issued, I certify that the code official or the code official's authorized representative shall have the authority to enter areas covered by such permit at any reasonable hour to enforce the provisions of the code(s) applicable to this permit.
Click the “Select files…” button below to attach all applicable construction documents.
Plans Attached?
Total
Estimated Fees
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"General Contractor Information" section of the Applicant tab.
Contract
Attachments
Sign
Certification