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APPLICATION FOR UCC ALTERATIONS - LEVEL 1 PERMIT
Application for UCC Alterations
EXPEDITE REVIEW. ADDITIONAL FEE SUBMITTED.
ACT 24 EXEMPTION
Site Information
Political Subdivision and County names are required.
Facility Name (name of company, mall, institution, university, etc.):
Building and/or Tenant Name
Address
(Required)
Street Number and Name
County
City
State / Province / Region
ZIP / Postal Code
Political Subdivision
Contact Name
Phone
Previous L&I File No.
Project
Describe the alterations in sufficient detail to confirm that the work meets the Level-1 scoping requirements found in the IEBC and on the Plan Review and Inspection Requirements page on the UCC web site. Carry over this description to an additional sheet of paper, if necessary, and attach the sheet to this application.
Applicant & Owner Information
Applicant Name
(Required)
Address
(Required)
Street Address
City
State / Province / Region
ZIP / Postal Code
Owner Name
Address
Street Address
City
State / Province / Region
ZIP / Postal Code
Phone
Fee Requirements
List estimated construction cost:
Email
(Required)
File
Drop files here or
Select files
Accepted file types: jpg, jpeg, png, gif, pdf, Max. file size: 1 GB.
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