70 Church Street, White Plains, New York 10601
Phone: (914) 422 - 1269 * Fax: (914) 422 - 1471
DEPARTMENT OF BUILDING
CITY OF WHITE PLAINS
Plan Amendment Form 04/13
http://www.cityofwhiteplains.com/
PLAN AMENDMENT FORM
TO: Commissioner of Building Date Filed:
Building Permit Application # :
Building Permit # :
Address: SBL:
ALL PLANS SUBMITTED FOR AMENDMENT MUST CLEARLY SHOW REVISIONS BY CLOUDING AND NUMBERING.
Submit this form with three(3) sets of plans and appropriate fee. 1 & 2 Family Houses $100.00 per amended plan. All others $200 per
amended plan. Describe fully all revisions to previously submitted plans:
Drawing # Revision # DESCRIPTION
Building Department Reviewing Engineer:____________________________ Date: ____________________
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