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Application for a Permit to Construct or Demolish (2014)

Application for a Permit to Construct or Demolish Effective January 1, 2 014 Page 1 of 4 Application for a Permit to Construct or Demolish This form is authorized under subsecti on 8( ) of the Building Code Act,1992 For use by Principal Authority Application number: Permit number (if different): Date received: Roll number: Application submitted to: (Name of municipality, upper-tier municipality, board of health or conservation authority) A. Project information Building number, street name Unit number Lot/con. Municipality Postal code Plan number/other description Project value est. $ Area of work (m2) B. Purpose of Application New construction Addition to an existing building Alteration/repair Demolition Conditional Permit Proposed use of building Current use of building Description of proposed work C.

A. Project information Building number, street name Unit number Lot/con. Municipality Postal code Plan number/other description Project value est. $ Area of work (m2) B. Purpose of application ... I am the holder of the permit to construct the sewage system, and am submitting a new Schedule 2, now that the installer is known. I certify that:

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