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2. Demolition Permit Application
   Residential / Commercial
3. Price

   1. Residential (non-refundable) - 25.00
   2. Commercial (non-refundable) - 55.00
   3. Residential Inspection (required, each) - 55.00
   4. Commercial (required, each) - 75.00
4. Quantity
5. Shipping Cost
7. Taxable
9. Permit Number
10. Date
    Date
14. Owners
16. Mailing Address
18. City
19. State
20. Zip Code
22. Phone Number
23. Fax Number
25. Email Address
29. Site Address
30. Zoning
32. Subdivision
33. Lot
34. Block
36. Structure contains hazardous material

    1. Yes
    2. No
37. Hazardous Material Report

    If answer is "Yes," then attach copy of Hazardous Material Report to this application. Commercial structures must be inspected for hazardous material.

38. Asbestos Abatement Required?

    1. Yes
    2. No
40. Reason for Demolition
42. Plan of Correction
44. All work is to be completed within this many days from the permit issue date:

    If an inspection is deemed necessary, an additional charge will be assessed.

48. Contractor
49. Contact Name
51. Mailing Address
53. City
54. State
55. Zip Code
57. Phone Number
58. Fax Number
60. Email Address
64. Demolition Permit Fee(s)

    $25 Residential, $75 Commercial

65. Inspections (Each)

    $45 Residential, $65 Commercial

67. I/We certify as follows: (1) demolition is in compliance and follows the Texas Asbestos Health Protection Act; (2) that all debris resulting from the demolition will be removed from the site within 10 days of completion, and (3) agree to comply with all city codes and ordinances pertaining to this project. I/We further certify that the information contained in this application is true and correct. I/We understand that if any of the information provided is incomplete or incorrect the permit may not be issued or may be revoked by the City Building Official.

69. Owner(s)
70. Date
    Date
72. Contractor
73. Date
    Date
77. Notes
79. City Building Official
80. Date
    Date
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