To Complete: Please print any of these forms or applications. Return completed forms via Mail, E-mail, or Fax.
Requires a PA One Call to obtain permit.
Contractor/Owner must contact the office at 570-524-7069 to schedule an inspection.
Mail to: L.A.J.S.A., P.O. Box 305 Lewisburg, PA 17837
Fax to: (570) 523-7077