Camden County Planning Department
Permits & Inspections
Data Input Form: Multi-Purpose Short Form Application

I  M  P  O  R  T  A  N  T  !  !

This form IS NOT your application. This form is an input form designed to generate your application based on your inputs. After entering your information, you must click the 'Print Application' button to view and print your application. You may also print a blank application and fill it out by hand by clicking the 'Print Blank Application' button before filling in any fields. This input form will not print.

This form IS NOT for dwellings. For Stick Built Houses Click Here. For Modular Houses Click Here. For Single/Double/Triple Wide Manufactured Dwellings Click Here.

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* = Required Field

Property Owner Information
Owner Name:*
Owner Email:
Owner Phones:Home:      Cell:     Fax:  
Owner Mailing Address: *
  * City:     * State:     * Zip:  
Permit Type: *
Description/Proposed Use: *
Who is doing the work for this project? *   * Project Cost:  
Property Information

Property Address (Project Location): *
 * City:     * State:     * Zip:  
 Project Township:  *   
General Contractor
 First Name:      Last Name:   
  Company Name:   
  License #:  
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
Electrical Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  License #:  
Mechanical Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  License #:  
Plumbing Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  License #:  
Insulation Contractor
 First Name:      Last Name:   
  Company Name:   
  Address:   
 City:     State:     Zip:  
  Email:  
  Phone:     Cell:     Fax:    
  License #:  
Project Details

DO YOU NEED A TEMP POLE ?  
Type of Materials (check):     N/A  |     Wood Frame  |     Masonry  |     Steel or Metal  |   Other (or N/A):  
Dimensions:   X    |   Height:     |   Total Square Footage:  
Electrical:  Amps (#):  
Mechanical:  Type of Mechanical:      Tonnage (if applicable):     Other (or N/A):  
 
              Is this a "Same Size Change Out" ?  
              Elec Breaker Size Required for Mechanical Changeout:  Indoor:     Outdoor:  
Plumbing:  Number of Bathrooms:    |  Number of Fixtures:  
Insulation:     N/A  |     Walls  |     Ceilings  |     Floors