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Commercial Miscellaneous Application14400 S. Coil Plus Drive, Plainfield, IL 60544 Phone (815) 439-2937 Fax (815) 609-6114 http://www.plainfield-il.org/pages/buildingdepartment Page | 1 01/15 COMMERCIAL MISCELLANEOUS PERMIT APPLICATION ADDRESS: ________________________________________________________ Zoning: ___________ Business Name: _____________________________________________________ Flood Plain: Yes No Scope of Work: _____________________________________________________ Estimated Value: $ _____________________ Please submit a $200.00 plan review fee. Who do we contact when permit is ready?_____________________________________ SUBCONTRACTOR INFORMATION: Plumbing: ____________________________________ Roofing: _________________________________ Carpentry: ___________________________________ Siding: __________________________________ Electrical: ____________________________________ Gypsum: _________________________________ HVAC: ______________________________________ Insulation: _______________________________ Concrete: _________________________________ Excavator: ____________________________ Water/Sewer: ______________________________ Masonry: _____________________________ Siding: ___________________________________ EFIS: ________________________________ Other: ____________________________________ OWNER: GENERAL CONTRACTOR: Name:______________________________________ Contractor:_______________________________ Address: ____________________________________ Contact Name:_____________________________ City, State, Zip: ______________________________ Address: ___________________________________ Contact Number: ______________________________ City, State, Zip: ___________________________ Email: ______________________________________ Contact Number:____________________________ Email: __________________________________ I hereby declare that the above and attached information is correct and agree, in consideration of and upon issuance of a Building & Use Permit, to do or allow to be done only such work herewith applied for, and that such premises and its existing and proposed buildings or structures shall be used or allowed to be used for only such purposes as are set forth above or other uses permitted in the district. _________________________________________ _____________________________________ (Owners Signature) (Contractors Signature) Issued By: ________________________________ Date: _________________________________