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Revised 10/16/2023 Page 1 of 1 Internal Office Use Only Received Date: Paid, Processed & Mailed/Emailed Date: Passed Date: Sponsorship Method of Payment Cash, Check, Money Order or Credit Card ALLEN COUNTY, INDIANA BUILDING DEPARTMENT 200 E Berry St, Ste 180 Fort Wayne, IN 46802 Phone: (260) 449-7131 Joseph Hutter, Building Commissioner Structural/Subsidiary Exam Application + $25 Sponsorship PLEASE PRINT CLEARLY ICC Structural Exams ☐ General Contractor (select which exam below) ☐ F11 - 2015 Codes ☐ G11 – 2018 Codes Unlimited in scope (commercials &/or residential), you can build a sky scraper, but this does NOT include trade work/licenses such as Electrical, HVAC or Plumbing. Also encompasses subsidiary licenses A.8.a thru A.8.f which are concrete, masonry, carpentry/frame, drywall, roofing and demolition. ☐ Residential Contractor (select which exam below) ☐ F13 - 2015 Codes ☐ G13 – 2018 Codes 1 & 2 family structures (residential ONLY). Also encompasses subsidiary licenses A.8.a thru A.8.f which are concrete, masonry, carpentry/frame, drywall, roofing and demolition. ☐ Building Contractor (select which exam below) ☐ F12 - 2015 Codes ☐ G12 – 2018 Codes 1 & 2 family structures as well as commercial buildings up to and including 3 stories (commercials &/or residential). Also encompasses subsidiary licenses A.8.a thru A.8.f which are concrete, masonry, carpentry/frame, drywall, roofing and demolition. ☐ Roofing Contractor (Unlimited) (select which exam below) ☐ F14 - 2015 Codes ☐ G14 – 2018 Codes Roofing only – no siding, windows, etc. for Commercial &/or Residential Prov Subsidiary Exams ☐ Demolition ☐ Carpentry ☐ Drywall / Plaster ☐ Siding, Windows & Doors ☐ Concrete ☐ Masonry ☐ Sign (Non-Electric) Applicant Information First Middle Initial Last Address City State Zip Phone # Email Address The undersigned warrants the information submitted is true. Also understanding Sponsorship is only valid for 6 months, from the date of Sponsorship being processed. In the event that passing exam results are not timely submitted, a new Sponsorship application along with a $25 fee will be required. Signature of Applicant Date If mailing in your application, would you like your exam information mailed or emailed? ☐ Mailed ☐ Emailed Only Select 1 Exam per Application