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Permit Application

Hours and Contact Information

Building and Safety Division
38250 Sierra Highway
Palmdale, CA 93550
661/267-5353

Open Monday-Thursday
7:30 am-6 pm
Closed Friday

Building Permit Application

Building Address

Major Cross Streets

Applicant Name

Company Name (if applicable)

Applicant Address

Applicant Phone

Applicant Email

Owner Name

Owner Address

Owner Phone

Architect/Engineer Name

Architect/Engineer License No.

Architect/Engineer Address

Architect/Engineer Phone

Architect/Engineer Email

Contractor Name

Contractor License No.

Contractor License Class

Contractor Address

Contractor Phone

Contractor Email

Square Feet Size

OCC

Construction Type

Number of Stories

Number of Units

Valuation (Cost of Job)

USD

Description Type

Description of Work