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Building Permit Application

Civic Address:*

Legal Description:

Owner Information (Primary Contact)

First Name:*

Last Name:*

Company Name:

Mailing Address:*

Email:*

Phone:*

Will there be another person (Agent) acting as the primary contact?*

Agent Information (Primary Contact)

First Name:*

Last Name:*

Mailing Address:*

Email:*

Phone:*

Is the builder the same person/entity as your primary contact?*

Builder Information (Primary Contact)

First Name:*

Last Name:*

Company Name:*

Mailing Address:*

Email:*

Phone:*

Is plumbing being installed or altered?*

Are you completing the plumbing on your own?*

Plumber Information (Primary Contact)

First Name:*

Last Name:*

Company Name:*

Mailing Address:*

Email:*

Phone:*
Information we collect and why we collect it.

The City of Courtenay is collecting personal information in accordance with Section 26 (c) of the Freedom of Information and Protection of Privacy Act. The personal information collected on this form is collected for the purposes of processing this Building Permit Application and for administration and enforcement. Questions about the collection, use, and disclosure of this information can be directed to the City’s Privacy Officer at City Hall, 830 Cliffe Avenue Courtenay, BC V9N 2J7. Phone: 250-334-4441 email: info@courtenay.ca



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