BUILDING PERMIT APPLICATION
BECOMES PERMIT WHEN SIGNED
Date of Application Date Work Starts WX CityTracking No. State of Utah Permit No.
Proposed Construction Project Subdivision Name & No Lot #
Address of Building Assessor's Parcel No.
Property Owner's Name and Email Address Property Owner's Mailing Address & Phone
Architect or Engineer Phone General Contractor Phone
Email Address St. License No. Email Address St. License No.
Electrical Contractor Phone Plumbing Contractor Phone
Email Address St. License No. Email Address St. License No.
Mechanical Contractor
Phone TYPE OF IMPROVEMENT OR CONSTRUCTION
_____ Sign _____Build _____Remodel _____Addition _____Repair
Email Address St. License No.
_____Move _____Convert Use _____Demolish
Square Feet of Building: Valuation: Building Fees
Rough Basement: Type of Construction Plumbing Fees
Finish Basement: ____Frame ____Brick Var ____Brick Electrical Fees
Carport sq ft: ____Block ____ Concrete ____Steel Mechanical Fees
Garage sq ft: State Fee
Covered Deck: Occ Group: Plan Review Fee
Type of Bldg: R-Value Sprinklered Moving/Demolition Fee
No. of Bldgs: Walls: Yes Water Impact Fee
Max. Occ Load: Roof: No Const. Water Use Fee
ZONING APPROVAL Storm Sewer Impact Fee
ZONE: APPROVED BY: Park Impact Fee
Public Safety Impact Fee
Date: Water Deposit Fee
FINAL APPROVAL Water Meter Fee
Date: Subsurface Drain Fee
Census Tract Traffic Zone Construction Bond
Total Fees
This permit becomes null and void if work or construction authorized is not commenced within 180 days, or if construction or work is suspended
or abandoned for a period of 180 days at any time after work is commenced. I hereby certify that I have read and examined this application and
know the same to be true and correct. All provisions of laws and ordinances governing this type of work will be complied with whether
specified herein or not the granting of a permit does not presume to give authority to violate or cancel the provisions of any other state or local
law regulating construction or the performance of construction and that I make this statement under penalty of perjury.
_________________________________________________________
___________________________________________________________
Signature of Contractor Date Signature of Property Owner Date
IMPORTANT NOTICE
Many areas in Woods Cross have ground water problems due to a seasonaly high (fluctuating) water table. There are also areas where soil
conditions may warrant additional consruction measures. Approval of this permit does not constitute representation by the City that buildings
at any specified elevation will solve ground water problems or that the soils are suitable for construction. Solution of water or soil problems is
the sole responsibility of the permit applicant and property owner
NOISE ORDINANCE - Noise Ordinance prohibits construction activities between the hours of 10:00 PM and 6:00 AM.
violation will result in a citation.
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click to sign
signature
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