Demolition Permit Application

Name(Required)

Email Address(Required)

Phone #(Required)

Address(Required)

Street Address City State ZIP Code

Contractor(Required)

If contractor not selected, type UNKNOWN

Phone #(Required)

Address(Required)

Complete address including City, State & Zip Code

Name(Required)

Phone #(Required)

Address of Demolition Activity(Required)

Street Address City State ZIP Code

Demolition Details(Required)

Describe work to be completed

Type of Structure(Required)

Most recent use of structure(Required)

Describe recent use

Estimated Start Date(Required)

Estimated Completion Date(Required)

Estimated Demolition Cost(Required)

Supporting File Upload(s):

Drop files here or

Max. file size: 100 MB, Max. files: 3.

Enter Name(Required)