Muskegon Township

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Building Permit Application

Project Information

Job Site Address(Required)
Owner's Name(Required)
Owner's Address(Required)

Contractor's Information

Address(Required)
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Architect or Engineer

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Address(Required)
Type of Improvement (check all that apply)(Required)

""MCL 125.1523a, PROHIBITS A PERSON FROM CONSPIRING TO CIRCUMVENT THE LICENSING REQUIREMENTS OF THIS STATE RELATING TO PERSONS WHO ARE TO PERFORM WORK ON A RESIDENTIAL BUILDING OR A RESIDENTIAL STRUCTURE. A PERSON WHO VIOLATES THIS SECTION IS RESPONSIBLE FOR A CIVIL VIOLATION, AND SHALL BE FINED NOT LESS THAN $100.00 OR MORE THAN $500.00."

THEREBY CERTIFY THAT THE PROPOSED WORK IS AUTHORIZED BY THE OWNER OF RECORD AND THAT I HAVE BEEN AUTHORIZED BY THE OWNER TO MAKE THIS APPLICATION AS HIS/HER AUTHORIZED AGENT, AND WE AGREE TO CONFORM TO ALL APPLICABLE LAWS OF THE STATE OF MICHIGAN. ALL INFORMATION SUBMITTED ON THIS APPLICATION IS ACCURATE TO THE BEST OF MY KNOWLEDGE.

Signature of Applicant

APPLICANT IS RESPONSIBLE FOR THE PAYMENT OF ALL FEES AND CHARGES APPLICABLE TO THIS APPLICATION

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Site Plan

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