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2. FOR INTERNAL USE ONLY: Application/Permit Number:
3. Internal Use: Date of Application Received:
5. Note:

   All applications must be accompanied by 2 sets of construction documents. Commercial Projects require 3 sets.  All Submittals except for re-roofs, repairs, siding or remodels must include a site plan.

7. Owner's Name:
8. Owner's Phone:
10. Owner's Mailing Address:
12. Contractor's Name:
13. Contractor's Phone:
15. Project Address or Lot & Block Number
17. Note Class of Work in the Box:

    Manufactured Home,  New Residential

    New Commercial,   Residential Remodel

    Commercial Remodel,   Commercial Addition

    Residential Addition,  Accessory Structure,  Fence   

    Deck,   Re-roof,  Change of Occupancy, Other

18. Total Square Feet:
20. Declared Construction Valuation:
22. Building Plan Upload:
24. How to Draw a Site Plan:
    How to Draw a Site Plan
26. FAQ's on Building Permits:
    FAQ's on Building Permits:
28. Certification:

    I hereby certify that I am the owner or the owner's duly authorized agent and that I have read this application, and that all information is correct. I also understand that if plumbing work is to be performed that I am required by CRS 12-58-113 to employ the services of a licensed plumber if the property or residence is intended for resale, rental or is a commercial structure.

29. Please Check the Box to Acknowledge the Previous Statement:*

    1. clindquist@cortezco.gov
31. First Name
32. Last Name
Leave This Blank:


34. 1. Receive an email copy of this form.
35. Email address

    This field is not part of the form submission.

36. Submit

* indicates a required field