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DevSvcs-TE-1.1-20150312
Innovative - Responsive - Professional
Supplemental
Building Information
Building Services
Complete this form to submit at City Hall. Or, use mybuildingpermit.com to submit your application entirely online.
This form is to be used in combination with a Building Permit
application for new construction or for projects where
there is a change of use, change in space, change of tenant, or change in square footage. Complete as applicable.
BUILDING INFORMATION
New or Added Square Footage (for new construction or additions only):
All Buildings Existing (Before) Proposed (After)
# of Stories (including basements)
# of Parking Spaces
# of Dwelling Units
Single Family/Duplex Only (square footages) Existing (Before) Proposed (After)
Garage
Carport
Basement (unfinished)
Basement (finished)
1st Floor
2nd Floor
3rd Floor
Covered deck/patio
Uncovered deck/patio
Accessory dwelling unit
Shed, barn, other
Non-Residential Existing (Before) Proposed (After)
Use (per KZC)
Square Footage
Tenant Name
ELECTRICAL CONTRACTOR INFORMATION (complete for NEW single family residential ONLY)
Contractor Name:
Phone:
Contractor Company Name:
Contractor Mailing Address:
Contractor's L&I License No.:
Contractor's WA State UBI No.:
OR
OWNER IS CONTRACTOR - I have read, signed and am now submitting the Property Owner/Renter/Lessee
Affidavit per RCW 19.28.261.
Owner/Agent Printed Name:
Owner/Agent Signature: Date:
