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Contractor’s Affidavit: Substantial Improvement or Repair of Substantial Damage Property Address: Parcel ID Number: Owner’s Name: Owner’s Phone: Contractor’s Name: Contractor’s Phone: Contractor’s License Number: Date of Contractor’s Estimate: I hereby attest that I have personally inspected the building located at the above-referenced address and discussed the nature and extent of the work requested by the owner, including all improvements, rehabilitation, remodeling, repairs, additions, and any other form of improvement. At the request of the owner, I have prepared a cost estimate for all of the improvement work requested by the owner and the cost estimate includes, at a minimum, the cost elements identified by the Millcreek Building Department that are appropriate for the nature of the work. If the work is repair of damage, I have prepared a cost estimate to repair the building to its pre-damage condition. I acknowledge that if, during the course of construction, the owner requests more work or modification of the work described in the application, that a revised cost estimate must be provided to the Millcreek Building Department, which will re-evaluate its comparison of the cost of work to the market value of the building to determine if the work is substantial improvement. Such re-evaluation may require revision of the permit and may subject the property to additional requirements. I also understand that I am subject to enforcement action and/or fines if inspection of the property reveals that I have made or authorized repairs or improvements that were not included in the description of work and the cost estimate for that work that were the basis for issuance of a permit. Contractor’s Signature: Date: STATE OF § COUNTY OF On this of in the year 2026, before me, (notary public name) a notary public, personally appeared (name of document signer), proved on the basis of satisfactory evidence to be the person(s) whose name(s) (is/are) subscribed to this instrument, and acknowledged (he/she/they) executed the same. Witness my hand and official seal. (notary signature) (seal) Millcreek City Council Cheri Jackson, Mayor Silvia Catten, District 1 Thom DeSirant, District 2 Nicole Handy, District 3 Bev Uipi, District 4 Millcreek City Hall 1330 East Chambers Avenue Millcreek, Utah 84106 [PHONE REDACTED] millcreekut.gov