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Medina County Building Department

Ken NeumeyerResidential Building Official(330) 722-9220 Fax:(330) 764-8204 County Building DepartmentPermit Center791 W. Smith , Ohio 44256 RESIDENTIAL Building APPLICATION*Plan Review Fees Due with Application*Acceptable Payment is Cash or Check Made Payable to: Medina County Treasurer We can NOT accept Credit select one Plan Review Fee: New House - $ Fire Protection - $ All Others - $ Name: Township: Project Address: Project Estimated Cost: $City: Zip: Sub Lot#:Project Description: Permanent Parcel#: Water: Public Water Private Well Cistern Sewer: Sanitary Sewers Septic System Owner Name: Address: City: State: Zip: Received: Rcpt: O-_____-____**Provide the PROJECT square-footage below**Ph: ()--Cell: ()--Basement:Ft2 Contractor Name: First Floor:Ft2 Address.

Ken Neumeyer Residential Building Official (330) 764-8282 kneumeyer@medinaco.org Main: (330) 722-9220 Fax: (330) 764-8204 http://building.medinaco.org

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