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City of Hampton
Residential Building Application


Fields marked with an asterisk * are required.

* Job Address:

Owner/Tenant Information
* First Name :
* Last Name:
* Street Address:
* City: * State: * Zip:
* Phone:

Contractor Information
* First Name :
* Last Name:
* Street Address:
* City: * State: * Zip:
* Phone:
* State Contract Number: *Class:
*Contract Value ($):
HRSD($) Sewer($):  

Lien Agent Information
First Name :
Last Name:
Street Address:
City: State: Zip:
Phone:

* Describe in detail proposed use:

*

**Please note**
Submittal of this form does not validate the permit. You must have approval along with payment before permit is issued. Payment should be arranged with the Department of Codes Compliance at (757) 727-8311. We accept Cash, Check, or Discover Card.