Application for Demolition Permit

Application for Demolition Permit - City of Murphysboro Public Works

Existing Basement?
Party Walls?
Septic System on Property?
Well or Cistern on Property?
Owner of Property
Mailing Address
Contractor Performing Work
Mailing Address of Contractor

By affixing my signature below, I certify that I have received a copy of the City of Murphysboro Demolition Requirements. As owner and/or representative I hereby certify that the proposed work will be conducted in a manner that conforms to all applicable laws.

Signature(Required)
type your full name here to sign
MM slash DD slash YYYY
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FOR OFFICE USE ONLY

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Cash ____________ Check # ____________
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