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                                    APPLICATION FOR PLAN REVIEW
  Print              Clear                                                                                                           This document has been designed  
                                                            City of Muskegon                                                            to complete online, print, SIGN,  
Date                                                               933Terrace St. P.O. Box 536                                              and mail to the city with all  
                                                                    Muskegon, MI 49443-0536                                              associated fees.  This form IS  
                                                                              (231)724-6758                                             NOT designed to be submitted  
I. JOB LOCATION                                                                                                                                      electronically.
Job Address                                                                                   Plan review deposit received? $
Name of Owner/Agent                                                                           Owner Telephone


Owner Address                                                              City                                  State                                 Zip Code


II. ARCHITECT OR ENGINEER
Name (Company or Individual)                                                                                                                  License Number

Address                                        City                                           State              Zip code                     Telephone Number


III. TYPE OF JOB
Class of work (check all that apply)
          NEW BUILDING                                        ADDITION                                       ALTERATION                                        REPAIR

          RESIDENTIAL                                           COMMERCIAL                               INDUSTRIAL                                          OTHER
Description of work





                                                                         FOR OFFICE USE ONLY
                                              REQUIRED                             RETURNED                               APPROVED

BUILDING                             Yes                  No                                                     Yes                  No

ELECTRICAL                           Yes                  No                                                     Yes                  No

MECHANICAL                           Yes                  No                                                     Yes                  No

PLUMBING                             Yes                  No                                                     Yes                  No

FIRE DEPARTMENT                      Yes                  No                                                     Yes                  No

SITE PLAN                            Yes                  No                                                     Yes                  No

OTHER                                Yes                  No                                                     Yes                  No






                                                                                                                                                        PR3/02