ConstructionForm

City of Thornton, Colorado
City Development Department
Application for Construction Permit

APPLICANT INFORMATION

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Applicant:

Daytime Phone:

24HR

Mobile

Address:

Job Location:

Job Address:

A/P Name:

Job Description:

Applicant hereby agrees to comply with all provisions of the City of Thornton's Building Code, standards specifications, and drawings for design and construction, approved plans, or any other ordinance, code, law, rule or regulation, and that this permit shall be invalid, if, during the performance of the work, a violation of any of the above ensued. Should violations occur and corrective directives are not followed, this permit shall be deemed to be cancelled and the improvements shall be made to conform with these provisions or they shall be removed and replaced at the applicant's expense.

Applicant's Signature

Date

SPECIAL CONDITIONS

FEE SCHEDULE

Contract Item

Contract Cost
Please use whole dollar amounts

Grading

Erosion Control

Water Mains

Sanitary Sewer Mains

Storm Drainage System

Asphalt

Concrete

Landscaping / Irrigation

Signage / Striping

Miscellaneous (See Special Conditions)

Total Contract Cost:

.00