Building Permit Application

The personal information collected on this form and any other personal information collected and maintained as part of an individual’s Building Permit application file will be used for the purposes of application review and approval, and may also be shared with other internal departments, Service NB and Training & Labour for the purposes of review, approvals and modifications. This information is collected under the authority of the Community Planning Act SNB. 2017, C19 and section 37(1) of the Right to Information and Protection of Privacy Act, S.N.B. 2009, c. R-10.6 (RTIPPA) and will be protected in accordance with the provisions of RTIPPA.

Project Location

Civic No.

Street

New Construction (if available)

Lot No.

PID No.

Project Description

Current use of property

Proposed use

(if different from above)

Type of work

Total estimated cost including labour

(Refer to By-law R300.10.1 section 13.1) The value of your permit will be determined when processed by the Building Inpsection department.

Description of work

Contact Information

Owner
Name*	Mailing address*	Tel	Cell	Fax	E-mail*
Name *	Mailing address *	Tel	Cell	Fax	E-mail *

Applicant
Name	Mailing address	Tel	Cell	Fax	E-mail
Name	Mailing address	Tel	Cell	Fax	E-mail

Contractor
Name	Mailing address	Tel	Cell	Fax	E-mail
Name	Mailing address	Tel	Cell	Fax	E-mail

I hereby apply *

I hereby apply for a permit for the work described in this application and plans submitted herewith, and agree to comply with the specifications stated thereon and all relevant Town of Riverview By-Laws.

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Building Permit Application

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