City of Fort Oglethorpe, Georgia
Gas Permit
7/8/2009
Property Location			Description of Work:
Subdivision:				Fee	Quantity	Total Fee
Lot Number:			BTU (per Object)
Physical Address:			< 125,000 BTU	$6.00		$0.00
			125,000 - 250,000 BTU	$8.00		$0.00
			250,001- 400,000 BTU	$10.00		$0.00
Owner Information			400,001 - 1,000,000 BTU	$12.00		$0.00
			1,000,001 - 5,000,000 BTU	$20.00		$0.00
Name:			>5,000,000 BTU	$40.00		$0.00
Address:			More than 5 Objects in any  Category	$4.00		$0.00
City, State Zip			Issue Fee	$20.00		$20.00
Phone Number:			Sub Total			$20.00
			Admin. Fee	$5.00		$5.00
			Total Permit Cost			$25.00
Contractor Information
			Note:
Name:
Business Name:			If more than five (5) objects in any category place total over 5 in
Address:			"More than 5 Objects per Category" Row
City, State Zip:
Phone Number:
License Number:
Type of Construction
[] New Construction   [] Alteration   [] Addition
Property Use
[] Residential   [] Commercial   [] Industrial
Signatures			Notice
Contractor:			THIS DOCUMENT BECOMES THE GAS PERMIT
			WHEN SIGNED FOR OR BY THE CHIEF BUILDING OFFICIAL
Building Official: