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TRADE PERMIT APPLICATION CITY OF GILBERT Job Address: PERMIT # Legal Description: Use of Building: Description of Work: Zoning: Occupant Name: Email Address: Phone: Owner Name: Email Address: Phone: Contractor Name: Email Address: Phone: Contractor State License Number: MASTER LICENSE (if applicable) Architect or Designer: Engineer: Email Address: Phone: Email Address: Phone: ¨ Existing $35.00 Temporary Electric Service $75.00 Electric - All $75.00 Existing $35.00 Plumbing $75.00 Existing Mechanical $35.00 Mechanical $75.00 ¨ ¨ ¨ ALL WORK MUST BE INSPECTED! Permits are non-transferable. This permit will expire one year from the approval date or if work does not begin or is abandoned for 180 days. In the event that a permit expires, a new permit must be obtained. Where work is begun before a permit is approved the permit fee will be doubled. Work must be performed by a State of Iowa licensed contractor. Contractor is presumed knowledgeable of the applicable Code. Signature of Applicant: Date: Please Print Name: By signing below, the applicant understands and agrees to the following: APPROVED: Date: When signed below and dated, this becomes your approved permit. PLEASE NOTE: TOTAL: SAFE BUILDING 421 MAIN STREET, SLATER, IA 50244 • T: [PHONE REDACTED] • F: [PHONE REDACTED] • SAFEBUILDINGIOWA.ORG 105 SE 2nd Street, Gilbert, IA 50105 ¨ ¨ ¨