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CITY HOME RENOVATION PERMIT APPLICATION <br />BUILDING <br />CONTRACTOR: OR OWNER AS CONTRACTOR <br />PHONE: EMAIL: <br />ADDRESS: <br />Address City State Zip <br />*All contractors must be registered with our department. For more information on this go to <br />https://southbendin.gov/department/community-investment/building/contractor-licenses/ <br />*Application can be emailed to us at building@southbendin.gov or provided to the address below for review. <br />*Application must be signed below. <br />I certify the above to be a true and accurate to the best of my knowledge. <br /> <br /> PRINT NAME ORG/BUSINESS OR OWNER <br /> <br />SUB-CONTRACTORS: <br />Electrical Contractor: ________________________________________________ N/A <br />Plumbing Contractor: ________________________________________________ N/A <br />HVAC Contractor: ___________________________________________________ N/A <br />Other: _______________________________________________ Scope of Work: ________________________ <br />Other: _______________________________________________ Scope of Work: ________________________ <br />Other: _______________________________________________ Scope of Work: ________________________ <br />Other: _______________________________________________ Scope of Work: ________________________ <br />Other: _______________________________________________ Scope of Work: ________________________