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Commercial Building Permit Application

  1. Roosevelt City Corporation Building Department

    255 State Street
    Roosevelt, UT 84066
    Phone: 435-722-5001
    Fax: 435-722-5000

  2. Job Site Information

  3. Permit Information

  4. Water Meter Size

  5. Type of Sewage

  6. Property has existing Water Meter

  7. Property has existing Sewer Service

  8. Note: 24 Hour Notice for Inspections

  9. All Commercial Buildings or with multiple dwellings units of three (3) or more must have an architect and / or engineer seal

  10. Paid by

  11. Decisions relative to this application are subject to review by the chief executive officer of the municipal or county entity issuing this building permit and appeal under the International Building Code as adopted by Legislature. This permit becomes null and void if work or construction authorized is not commenced I hereby certify that I have read and examined this application and know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether specified herein or not. The granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local authority regulating construction or performance of construction and that I make this statement under penalty of perjury.

  12. Electronic Signature Agreement

    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.

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