Dyersburg, TN - Codes Enforcement - Permit

Project Name:
Permit Type:
Residential New Permit Type:
Heated Square Footage:
Unheated Square Footage:
Permit Category:
Contractor Type:
Project Street Address:

Please do not list City, State, and Zip Code.
Project Cost:
Will Building be Sprinkled:

Will Building be Sprinkled: Yes No
Is Project Located Within a Floodplain:

Is Project Located Within a Floodplain: Yes No

Complete for Plumbing Permits Only:
Complete for Plumbing Permits Only:	Yes	No
Backflow Device	Backflow DeviceYes	Backflow DeviceNo
Water Heater	Water HeaterYes	Water HeaterNo

Total Number of Fixtures:
Total Number of Baths - Residential:
Complete for Gas Permits Only
Total Number of Gas Appliances:

Complete for Sign Permits Only - Drawing Required:
	Yes	No
Lighted	LightedYes	LightedNo
Electronic	ElectronicYes	ElectronicNo

Sign Type:

Sign Type: Attached Free Standing Billboard
Sign Square Footage:
Owner Name: Owner Name: First Last
Contractor Name: Contractor Name: First Last
Contractor Mailing Address: Contractor Mailing Address:
Street Address Address Line 2 City State / Province / Region Postal / Zip Code Country
Contractor Email:
Contractor Phone: Contractor Phone: - ### - ### ####
Contractor State ID#:
Project Square Footage:
Detailed Project Description:
Attachments:
Please upload any documentation associated with this permit)

Attach Files
I understand, submitting this permit application is an acknowledgment that all the information that I have provided is true and correct. I also understand, this is not a completed permit and no work shall begin until this document is approved and permits have been issued. All requested inspections require a minimum of a 24 hour business day notice. Questions or comments, please call (731) 288-7612:

I understand, submitting this permit application is an acknowledgment that all the information that I have provided is true and correct. I also understand, this is not a completed permit and no work shall begin until this document is approved and permits have been issued. All requested inspections require a minimum of a 24 hour business day notice. Questions or comments, please call (731) 288-7612: Yes
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Dyersburg, TN - Codes Enforcement - Permit

Residential New Permit Type:

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