1. Applicant Information:

Property Owner Name:*

Mailing Address:*

Mailing City:*

Mailing State:*

Mailing Zip Code:*

Owner Phone Number:*

Owner Email:*

2. Property Information:

Project Address:*

Parcel Number:

Zoning (if known):

Subdivision / Lot / Block:

3. Contractor Information (if applicable):

Contractor Name:

Company Name:

Contractor Address:

Contractor Phone Number:

Contractor License Number:

4. Project Description:

Type of Project (check one):*
New ConstructionAdditionRemodelGarage / ShopDeck / PorchFenceDemolitionOther (Describe below)
If you chose “Other” above, provide a description:

Detailed Description of Work:*

Estimated Project Cost:*

5. Utilities:

Water Source: City WaterWellNot Applicable
Sewer: City SewerSepticNot Applicable

6. Required Attachments:

You may attach photos or PDFs of the required documents, listed below, or you may drop them off at City Hall with your permit fee.
• Site Plan:
• Construction Plans:
• Property Setbacks:
• Contractor License (if applicable):

7. Applicant Certification:*

By submitting this form, I certify that the information provided in this application is true and correct. I agree to comply with all city ordinances and building codes. Furthermore, I agree with City of Weippe’s privacy policy statement, which can be found in the footer of this page.

I consent to having the City of Weippe collect my name and email to receive occasional announcements and newsletters. The City of Weippe will never sell your information, and you are welcome to opt-out of our mailing list at any time.
YesNo