Building Permit Application 2017-08-24 - …

Revised 08/24/2017 Building Permit Application Page 1 Charlestown Township 4030 Whitehorse Road, Box 507, Devault, PA 19432 (610) 240-0326 Fax: (610) 240-0328 Uniform Construction Code Building Permit Application Location of Proposed Work or Improvement: Street Address: _____ City: _____ State: _____ Zip:_____ Tax Parcel ID No.: _____ Lot No.: _____ Zoning: _____ Owner: _____ Phone: _____ Mobile: _____ Mailing Address: _____ City: _____ State: _____ Zip:_____ E-Mail: _____ Principal Contractor: _____ Phone: _____ Mobile: _____ Mailing Address: _____ City: _____ State: _____ Zip:_____ E-Mail: _____ Fax: _____ PA Registration #: _____ Type of W

Revised 08/24/2017 Building Permit Application Page 2 Building/Site Characteristics Number of Residential Dwelling Units: _____ Existing _____ Proposed

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