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2. For Structures with 4 or More Dwellings / Units

   All information is required for processing. Failure to fill out all of your information with required documents will result in the delay of your permit and project.

   Fee: $225 per unit

4. What Type of Application Is This?*

   1. New
   2. Renewal
5. Is the Applicant the Property Owner?

   1. Yes
   2. No
7. Name of Apartments
9. Property Owner*
11. Property Owner Phone Number*
12. Property Owner Email Address*
14. Property Owner Address
16. City
17. State
18. Zip Code
20. Property Manager*

    Please mark "N/A" if not applicable.

22. Property Manager Phone Number
23. Property Manager Email Address
25. Property Manager Address
27. City
28. State
29. Zip Code
31. Property Information
33. Address*
35. Number of Units*
37. Address
39. Number of Units
41. Address
43. Number of Units
45. Address
47. Number of Units
49. If you are applying for more than four addresses, please list the addresses and number of units:
51. Emergency Contacts
53. 24-Hour Emergency Phone Number for Residents*
55. 24-Hour Emergency Contact Person for Police, Fire & Emergencies

    Name

56. Emergency Contact Phone*
58. Emergency Contact Email
60. Application Checklist

    All of the following are required with the submission of your application:

    • Mount Rainier Permit Application fees
    • Lead Certificate

    Register or annually renew the registration of the affected property through the Maryland Department of the Environment (MDE) at the MDE website or by phone at 800-776-2706.

62. Name of Applicant / Representative*
63. Date*
    Date
65. Fee
    Fee
66. Price
67. Quantity
68. Shipping Cost
70. Taxable
Leave This Blank:


72. Calculate Totals Proceed to Checkout

* indicates a required field