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MT 59901 Print Name Phone Signature of Owner or Authorized Agent Date Architect/Engineer Name Architect/Engineer Phone Architect/Engineer Address Phone: EMAIL: Kalispell Building Dept Interactive Map - please use this link to find the legal description and Assessment Code No. Legal Description Assessment Code No. Point of Contact for plan review comments - NAME: Property Owner Name (if not current owner please provide closing date) Property Owner Phone Property Owner Address Property Owner Email Address Architect/Engineer Email Address Contractor Name Contractor Phone Contractor Address Contractor Email Address Tenant Mailing address: No. Stories Sq. Ft. Decribe Work Tenant and/or Project Name: Tenant Phone Project Value (cost of time & materials) Use of Building Job Site Address Kalispell Commercial Building Permit Application Phone: (406) 758-7730 www.kalispell.com/building FAX (406) 758-7739 **ALL BLOCKS ARE REQUIRED INFORMATION (incomplete applications will delay review)** Building Department 201 1st Avenue East Kalispell, MT 59901 TBD Owner TBD Owner ---PAGE BREAK--- Signature of owner or authorized agent Print Name Date The issuance or granting of a permit or approval of plans, specifications and computations shall not be construed to be a permit for, or an approval of, a violation of any of the provisions of the International Building, Residential, Mechanical, Fire, National Electrical Code, Energy Code or the Uniform Plumbing Code; the Kalispell Zoning Ordinance; the Kalispell Municipal Code; or any other ordinance, code or law of the City of Kalispell, County of Flathead, State of Montana, of the Federal Government or any of their agencies. I understand that information provided to the City of Kalispell, whether on a permit application form or during the permit process, is part of the public record and that the following policies/procedures apply: The information is available for viewing by any member of the public upon request; the permit and its associated information will be posted on site in public view during construction; any individual may compile a mailing list by examining the records that are otherwise open to public inspection; and permit information is regularly made available to requesting agencies, businesses and the public. By my signature, I certify that I have read and understand the above statements. Consent to Inspect I understand that the building/plumbing/mechanical/electrical codes adopted by the City of Kalispell provide for the entry onto and inspection of my property in conjunction with the applicable permit. By applying for and receiving a permit, I understand that I am consenting to such entries/inspections until such time as a permanent certificate of occupancy is issued or, for construction not requiring a certificate of occupancy, the project has passed a final inspection. Furthermore, I hereby explicitly give my consent to allow employees of the City of Kalispell, including, but not necessarily limited to, building inspectors, the zoning administrator, fire personnel, and public works personnel, to enter and inspect my property (located at the listed address) for purposes related to my permit. My consent to enter and inspect extends not only to the land itself, but also to all buildings, structures, and other fixtures on the lot, including, but not necessarily limited to, utility service lines. I understand that an inspection may entail reasonable measures to determine compliance with the applicable code/ordinance and may include, but is not necessarily limited to, uncovering or removing material concealing relevant construction. Acknowledgments SIGN