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Millcreek Contractor Information 3330 South 1300 East, Millcreek UT 84106 Phone: [PHONE REDACTED] Project Permit Contractor Name Email Address License Number Phone Number General: Mechanical: Electrical: Plumbing: Engineer: Plan Designer: Please note the Name, Email Address, License Number, and Phone Number of each contractor above. If owner please note owner. If any work on a project is being performed by the owner of the property, then a notarized Owner Builder Certification is required to be submitted to Millcreek Building Department. The Owner Builder Cerfification can be found on our web page. If any changes are made to the contractors on file please notify Millcreek Building Department. Signature: Date: