Credit card payment due at time of submission

Processing Fee: ($150)

Processing Fee

Coupon

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Coupon Hider

Total

Property Owner's Information

Name(Required)

First Last

Address(Required)

Street Address Address Line 2 City State ZIP Code

Phone(Required)

Night or Cell Phone(Required)

Email(Required)

Demolition Contractors Information

Contractor Name(Required)

Contractor Address

Street Address Address Line 2 City State ZIP Code

Contact Name(Required)

First Last

Contact Phone (24hr.)(Required)

Demolition agreement:(Required)

All Demolitions shall be completed within 30 days after issuance of this permit. An extension may be granted with approval of the Metro West Fire Protection District Fire Marshal. An inspection shall be conducted prior to and after all demolitions. All Utilities shall be secured prior to the beginning of the demolition.

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Primary Business Contact - Email(Required)

Demolition Details

Demolition Location(Required)

Demolition Address(Required)

Street Address Address Line 2 City State ZIP Code

Hazardous Materials Present?(Required)

Yes

Applicant (Initials)(Required)

Billing/Confirmation Email(Required)

Billing Information

A $150.00 fee is required before processing will occur.

Payment Type(Required)

Credit Card

e-Check/ACH

Billing Address(Required)

Street Address Address 2 City State Zip

Must match credit card billing

Application for Demolition Permit

Credit card payment due at time of submission

Processing Fee: ($150)

Property Owner's Information

Demolition Contractors Information

Demolition Details

Billing Information