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2. DEMOLITION PERMIT
4. Owner Name*
5. Email Address*
7. Address
9. City
10. State
11. Zip Code
13. Phone Number
17. Contractor Name*
18. Email Address*
20. Address*
22. City*
23. State*
24. Zip Code*
26. Phone Number*
28. Contractor Signature*
32. Required signature list

    1. 1. Duke Energy (800)679-8004
    2. 2. Utilities Dept (407)656-1279
    3. 3. Lake Apopka Gas (407)656-9371
    4. 4. Engineering/Public Services (407)877-2363

    1. 5. Fire Dept. (407)656-4017
    2. 6. Cable Company (407)814-5320
    3. 7. Phone Company Michel.T.Leslie@centurylink.com

    Please fax this for the numbers below for verification the property has been properly disconnected
34. UPLOAD FORMS/LETTERS*
Leave This Blank:


36. 1. Receive an email copy of this form.
37. Email address

    This field is not part of the form submission.

38. Submit

* indicates a required field