Permit Extension Request

Property Address * Required
List all permit numbers you would like to request an extension of time for associated with this property. * Required
Please be aware, issued permits and permit applications are only allowed a 1 time extension of 180 days and Residential Resale Report are allowed a 1 time extension of 90 days. * Required
- I acknowledge that if my permit does not qualify for the 1 time extension I may need to pay a renewal fee.
**Please note: For your permit to be eligible for the 180 day extension it must not be more than a year expired and has not already received an extension.**
Name
First Last
Relationship to Permit * Required
- I am the legal property owner
- I am the licenses contractor listed on the permit
- I am the authorized agent for the property owner
Phone Number * Required
Email * Required
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