CITY OF ROSSFORD, OHIO
DEPARTMENT OF BUILDING INSPECTION

APPLICATION FOR WRECKING AND RAZING BUILDINGS

Permit Number ________________                                                             Date: ________________

The undersigned hereby makes application for a permit for wrecking and razing a building as herein specified, agreeing to do all such work in strict accordance with the code of regulations of the City of Rossford and State Ordinances, and to save the City of Rossford, Ohio harmless from any and all damages.

Per Chapter 1325 Rossford Codified Ordinances

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Street/Road_________________________________________________________________ located on

the __________________________side between_______________________________________ and

_______________________________________. Legal description of property____________________

___________________________________________________________________________________

Owner______________________________________ Address________________________________

____________________________________________________

Contractor _______________________________________Address__________________________

____________________________________________________

Nature of structure involved____________________________________________________

What is proposed to be done with the structure and time element involved?____________________

_________________________________________________________________________________

_________________________________________________________________________________

_________________________________________________________________________________

__________________________cubic feet?

Permit Fee: __________________________ Signature_______________________________________

Approved By: __________________________ Address_______________________________________

Title:________________________________________________________________________________

Any special instructions: