Fillable Deferred Submittal Cover Sheet Applicant Information (City of Des Moines)

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Deferred Submittal Cover Sheet Applicant Information (City of Des Moines)

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Building Department
21630 11th Avenue South, Suite D
Des Moines, WA 98198
(206)870-7576 fax:(206)870-6544
www.desmoineswa.gov
Deferred Submittal
Cover Sheet
Project Address:
Project Name:
Project / Permit #:
Date:
Applicant Information
Contact Person:
Company Name: Phone #:
Submittal Information
Describe the
deferred
submittal:
(be specific)
For Office Use Only
Routing:
Approved By:
Date:
Building
Planning
Transportation
Surface Water
Fire Department
Plan Check Fees:
Inspector Fees:
hours @ $138.00 per hour =
hours @ $138.00 per hour =
Email: Fax #:
Submittal Requirements
All deferred submittals MUST contain the following:
1. A completed City of Des Moines Deferred submittal form.
2. A written letter to the City that shows an itemized summary of your submittal (must include sheet and detail numbers).
3. All new/additional information MUST BE CLOUDED or HIGHLIGHTED on each plan set.
Routed to:
A DEFERRED SUBMITTAL contains new information that was not included with the original submittal of a permit application. This is not
for Revisions or Corrections.
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Deferred Submittal Cover Sheet Applicant Information (City of Des Moines)

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Completed 3 August 2020

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