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Demolition Permit Application DEMOLITION PERMIT APPLICATION CITY OF LAVERGNE CODES DEPARTMENT 5175 MURFREESBORO RD LAVERGNE, TN 37086 PHONE (615) 213-2624 FAX (615) 213-8692 DATE: ___________ PERMIT NUMBER: ____________________ ADDRESS OF DEMOLITION: ________________________________________ SUBDIVISION: ______________ PHASE: _____________ LOT: ____________ COMMERCIAL RESIDENTIAL CONTRACTOR INFORMATION: NAME: __________________________ ADDRESS: ________________________ EMAIL – print ______________________________________________________ PHONE: _________________ CITY: _____________________ STATE: _________ PERMIT FEE $75.00 Description of Project: ____________________________________________________________ SIGNATURE OF CONTRACTOR OR AUTHORIZED AGENT DATE APPROVED: ________________________ ________________________ DATE