TOWN OF CHINCOTEAGUE BUILDING PERMIT APPLICATIONBuilding Permit Application • October 17th, 2014
Contract Type FiledOctober 17th, 2014CONTRACTOR : _____________________ PHONE NUMBER: ________________ ADDRESS: _____________________________________________________________ TOWN BUSINESS LICENSE # ____ STATE CONTRACTOR LICENSE #________________ IS THERE A LICENSED “CLASS A” BUILDING CONTRACTOR IN CHARGE WITH OVERALL SUPERVISION OF THIS PROJECT? ___ YES NO VIRGINIA LICENSED ENGINEER FOR PROJECT: ________________________________ ______________________________________________________________________