Contractors Name * If homeowner is doing work him/herself please put your name in the textbox. License number * If homeowner is doing work him/herself please put N/A in the textbox. Account number If you need an account number please fill out the online permitting application and we can set up your account. Expiration Date * If homeowner is doing work him/herself please put N/A in the textbox. Email * Phone Number * Homeowners name * Home owners address * Type of Construction * - Select -New ConstructionRemodelGas Signature * Every permit shall expire by limitation at the end of (90) days from the date of issue unless work is in progress. If the work described in the building permit has not been substantially completed within two (2) yeas of the date of issuance thereof, the building permit shall expire. All permit fees as required by the cities adopted building code shall be paid at the time of application. If permit is granted, I hereby agree to complete all work in accordance with all city and state regulations. Penalty for not purchasing permit prior to commencing work is $25.00 Date * Month MonthJanFebMarAprMayJunJulAugSepOctNovDec Day Day12345678910111213141516171819202122232425262728293031 Year Year1900190119021903190419051906190719081909191019111912191319141915191619171918191919201921192219231924192519261927192819291930193119321933193419351936193719381939194019411942194319441945194619471948194919501951195219531954195519561957195819591960196119621963196419651966196719681969197019711972197319741975197619771978197919801981198219831984198519861987198819891990199119921993199419951996199719981999200020012002200320042005200620072008200920102011201220132014201520162017201820192020202120222023202420252026202720282029203020312032203320342035203620372038203920402041204220432044204520462047204820492050 Fees * Gas $25.00 Plumbing $50.00 How are you paying? * Pay in person Pay by mail- 173 E Ash Street Pottsville, AR 72858 Pay online-MUST have account number to pay online-if you need an account number please fill out the online permitting application and we can set up your account. Payment information * Please contact 479-567-0874 after submitting a permit. Once you submit a permit you will be redirected to pay online. If you chose the option to pay by mail or in person please disregard the webpage for paying online. Leave this field blank
