Milltown, MT · Middlesex County
Permit Jacket Inside
This permit certification page is completed by property owners or their authorized agents to certify project details and responsibilities for work on the property.
What this form is
This page is part of a permit jacket and provides certification sections for the property owner or an authorized agent. It asks the signer to make applicable statements about the property, plans, work responsibilities, prior approvals, and contractor tax compliance. For lead hazard abatement, the page says to include a Homeowner or Building Owner Affidavit.
Who needs it
Property owners applying for work on their property, or agents authorized by the owner, complete the applicable certification section.
How to submit it
Submit it to the city department named on the form; check the city website for current contact details.
About notarization
This page is signed and dated without a notary; for lead hazard abatement, it requests a Homeowner or Building Owner Affidavit but does not state that it must be notarized.
How to submit this form
- 1
Download The PDF
Download the Permit Jacket Inside PDF.
- 2
Complete The Applicable Section
Complete the owner section if you are the owner in fee, or the agent section if you are authorized to apply for the owner.
- 3
Gather The Required Affidavit
For lead hazard abatement, include a Homeowner or Building Owner Affidavit as directed on the page.
- 4
Submit The Form
Submit it to the city department named on the form; check the city website for current contact details.
Frequently asked questions
- Who completes the Permit Jacket Inside?
- The owner in fee completes the owner section. If the applicant is not the owner, the authorized agent completes the agent section.
- What information does this page ask for?
- It includes certifications about the property, plans, work responsibilities, prior approvals, and contractor tax compliance. The agent section also requests a name, address, telephone number, and signature.
- Do I need a notary for the Permit Jacket Inside?
- No. This page is signed and dated without a notary. For lead hazard abatement, it requests a Homeowner or Building Owner Affidavit but does not state that it must be notarized.
- How do I submit the Permit Jacket Inside?
- Submit it to the city department named on the form; check the city website for current contact details.
Need something notarized?
This Permit Jacket Inside doesn’t need a notary — but if you have another Milltown form that does, a commissioned online notary can help.