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Who is the applicant?
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Applicant's full mailing address
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Applicant's contact name and phone number
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Owner's name if not applicant
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What is the property address?
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What are the Lot # and Subdivision?
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General Contractor Name and License #
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Electrical Contractor Name and License #
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Mechanical Contractor Name and License #
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Plumbing Contractor Name and License #
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Upload your Secondary Water Certificate
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