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Owner’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 License Number: Date of Contractor’s Estimate: I hereby attest that the description included in the permit application for the work on the existing building that is located at the property identified above is all of the work that will be done, including all improvements, rehabilitation, remodeling, repairs, additions, and any other form of improvement. I further attest that I requested the above-identified contractor to prepare a cost estimate for all of the work, including the contractor’s overhead and profit. I acknowledge that if, during the course of construction, I decide to add more work or to modify the work described, that the Millcreek Building Department 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. Owner’s Signature: Date: STATE OF § COUNTY OF On this of in the year 2020, 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 Jeff Silvestrini, Mayor Silvia Catten, District 1 F. Dwight Marchant, District 2 Cheri Jackson, District 3 Bev Uipi, District 4 Millcreek City Hall 3330 South 1300 East Millcreek, Utah 84106 [PHONE REDACTED] millcreek.us