Personal Info Construction Documents Agree Signature & Submittal Complete Date ICC Code Reference Year 2009 2015 2012 The PA UCC has adopted 2015 IBC Chapter 11, IEBC 2015 Accessibility Provisions Only, and ANSI A117.1-2009 as of April 16, 2016, Project Name Address Township or Borough City State Zip County Applicant Name Address Township or Borough City State Zip County Company Phone Fax Email Invoice If you would like to be the one to pay the invoice please check this box. Invoice Applicant Name Company Address City State Zip Phone Fax Email Jurisdiction Name Address City State Zip Fax Code Official Email Design Professionals Name Company Address City State Zip Phone Fax Email
