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Building Permit Extension Request Form

2. Project Property Address*

3. Plan Review / Permit #*

5. Application Date:
   Application Date:

6. Permit Issuance Date:
   Permit Issuance Date:

7. Building Permit Expiration Date:
   Building Permit Expiration Date:

9. Is there A TRPA Permit Associated with this Project?*

   1. Yes
   2. No

10. TRPA Expiration Date (if applicable)
    TRPA Expiration Date (if applicable)

12. **Note, TRPA Permits cannot be extended. Expired TRPA permits will require reissuance of TRPA Permit will be required and payment of TRPA Application fees.

14. Permit Type/Purpose*

16. What is the current status of your Permit?*

    1. Currently in Plan Review, permit has not yet been issued.
    2. Permit Issued, no work has commenced
    3. Permit Issued, project partially complete
    4. Permit Issued, project complete. Ready for Final Inspection
    5. Permit Expired

17. Was a City Allocation offered to this property? *

    1. Yes
    2. No
    3. Unknown

18. Is there an active code violation case on this property?*

    1. Yes
    2. No

20. Reason for Extension Request*

21. Anticipated Date of Project Completion:*
    Anticipated Date of Project Completion:

23. Applicants Name*

24. Applicants Address

26. Applicants Email

27. Applicants Phone Number:

Leave This Blank:


29. 1. Receive an email copy of this form.
30. Email address

    This field is not part of the form submission.

31. Submit

* indicates a required field