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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:
*
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*
Zip
:
*
Phone:
City Sewer:
Septic:
City Water:
Well:
Contractor Information
*
First Name :
*
Last Name:
*
Street Address:
*
City:
*
State
:
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*
Zip
:
*
Phone:
*
State Contract Number
:
*
Class
:
[Select]
A
B
C
*
Contract Value ($)
:
HRSD($)
:
Sewer($)
:
Lien Agent Information
First Name :
Last Name:
Street Address:
City:
State
:
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Alaska
Alabama
Arkansas
Arizona
California
Colorado
Connecticut
Delaware
Florida
Georgia
Hawaii
Idaho
Iowa
Illinois
Indiana
Kansas
Kentucky
Louisiana
Maine
Maryland
Massachusetts
Michigan
Minnesota
Mississippi
Missouri
Montana
Nebraska
Nevada
New Hampshire
New Jersey
New Mexico
New York
North Carolina
North Dakota
Ohio
Oklahoma
Oregon
Pennsylvania
Rhode Island
South Carolina
South Dakota
Tennessee
Texas
Utah
Vermont
Virginia
Washington
Wisconsin
West Virginia
Wyoming
Zip
:
Phone:
*
Describe in detail proposed use:
*
By checking this box, the owner of this building or structure is bound by the terms of the above disclosure and agrees to conform to all of the applicable Codes and Ordinances of this Jurisdiction.
**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.