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2. 
3. SIDING PERMIT
5. Job Site Address:*
6. Date:*
   Date:

   Date:
8. Permit Fee: $25.00

   Meter Disconnect & Reconnect Fee: $20.00 + tax (Vermillion Light & Power Customers).

10. PROPERTY OWNER:
12. Name:*
13. Email Address:*
15. Address:*
17. City:*
18. State:*
19. Zip Code:*
21. Phone Number:*
22. Fax Number:
24. PROPOSED PROJECT: SIDING PERMIT
26. General Requirements
    Siding - General Requirements
28. GENERAL CONTRACTOR:
30. Name:*
31. Email Address:*
33. Address:*
35. City:*
36. State:*
37. Zip Code:*
39. Phone Number:*
40. Fax Number:
42. Contact Person*
43. Contact Person Phone Number*
45. Existing Siding Type*
    -- Select One --AluminiumFiber CementSteelVinylWoodOther

    Select the type of siding currently on the structure.
46. Existing Siding Type - Other*
    If you selected "other," please list the type of siding type currently on the structure.
48. Proposed Siding Type*
    -- Select One --AluminumFiber CementSteelVinylWoodOther

    Select the type of siding proposed for replacement.
49. Proposed Siding Type - Other*
    If you selected "other," please list the type of siding type proposed for replacement.
51. Building Permit is valid for one year from date of issuance.
53. Acknowledgement of Meter Disconnection & Reconnection Fees and Process*

    By checking the “I acknowledge” box, you acknowledge that Vermillion Light & Power customers must contact Vermillion Light & Power 24 hours in advance for meter disconnection and reconnection. The fee for this service is $20.00 + tax.  

    605-677-7073

     

    1. I acknowledge.
55. Electronic Signature Agreement*

    By checking the "I agree" box below, you agree and acknowledge that 1) your application will not be signed in the sense of a traditional paper document, 2) by signing in this alternate manner, you authorize your electronic signature to be valid and binding upon you to the same force and effect as a handwritten signature, and 3) you may still be required to provide a traditional signature at a later date.

    1. I agree.
57. Electronic Signature
Leave This Blank:


59. 1. Receive an email copy of this form.
60. Email address

    This field is not part of the form submission.

61. Submit

* indicates a required field