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2. Name
3. Email Address
5. Business Name (if applicable)
7. Address of Building
9. Zone
10. Subdivision
11. Lot
13. Block
15. City
16. State
17. Zip Code
19. Phone Number
21. Type of Improvement

    1. New Building
    2. Addition
    3. Remodel
    4. Moving House
    5. Demo
    6. Electrical/HVAC/Plumbing
23. Proposed Occupancy

    1. Single Family
    2. Multi-family
    3. Commercial
25. Describe work
27. Does the work involve moving, adding, demolishing, or changing any walls or other structural support that could possibly carry a load?

    1. Yes
    2. No
28. Does this application involve the subdivision of a parcel into 2 or more lots?

    1. Yes
    2. No
29. Total cost of improvement (both labor & materials)
31. Name of Owner
33. Phone Number
35. Name of Contractor
37. Phone Number
39. Upload Business License, State Card, & other pertinent documents
41. Disclaimer

    The Owner of this property, together with the undersigned Contractor, hereby agrees to comply in all respects with the ordinances, regulations, and building codes duly adopted by the City of Albertville. The Contractor further agrees to furnish to the City a complete and accurate list of all subcontractors engaged on the project and to ensure that each subcontractor is duly licensed and authorized to perform work within the City, and that all requisite certifications, licenses, and permits have been obtained prior to commencement of any work. The Applicant further acknowledges and accepts sole responsibility for ensuring compliance with and enforcement of all applicable setbacks, easements, and deed covenants encumbering or otherwise relating to the subject property.

43. Electronic Signature of Applicant

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
45. Electronic Signature
46. Date
    Date

    Date
48. Disclaimer

    This application must be accompanied with a valid Albertville business license and all necessary state requirements.

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50. 1. Receive an email copy of this form.
51. Email address

    This field is not part of the form submission.

52. Submit

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