HomeMy WebLinkAboutRevision Submittal FormPermit No:
Property Address:
Agent's Name:
Agent's Email/Phone No.
Property Owner's Name:
NOTE: If contractor has changed, owner or owner's agent must notify the City in writing.
If agent has changed, owner must notify City in writing by completing new Declaration of Agent form.
What are you submitting?
❑ Documents as listed in the attached transmittal form
❑ Documents as listed here:
Reason for Submitting This Revision or Documentation:
❑ Changes to the project that are initiated by the permit applicant.
❑ Other:
ADDED VALUATION(*Required* If there is no added valuation, put $0): $
Please describe the scope of the changes:
Documentation was requested by:
❑
Steve Wilcox - Building Official/Director
❑
Jonathan Kesler - Planning Manager
❑
Rob Kilmer - Deputy Building Official
❑
Rebecca Bennett - Development Services Coordinator
❑
Gray & Osborne - Engineering Consultant
❑
Tree Frog - Tree Consultant
STAFF USE ONLY
Received By: Date: Approved By: Date:
Added Valuation Fee: $ Revision Fee: $
Revised 1 /25/2024