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Millcreek City Council Jeff Silvestrini, Mayor Silvia Catten, District 1 Thom DeSirant, District 2 Cheri Jackson, District 3 Bev Uipi, District 4 Millcreek City Hall 3330 South 1300 East Millcreek, Utah 84106 [PHONE REDACTED] millcreek.us Contractor Information Sheet Project Address: Permit Number: Contractor Name (Required) Address City, State Zip (Required) Phone Number (Required) Email (Required) License Number must end in 5501 (Required) General: Mechanical: Electrical: Plumbing: Engineer: Please note the Name, Address, Phone Number, Email Address, and License 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 Certification can be found on our web page. If any changes are made to the contractors on file, please notify Millcreek Building Department. Signature: Date: