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Rev 02/10 REVISIONS TO EXISTING RESIDENTIAL OR COMMERCIAL APPLICATIONS THIS APPLICATION MUST BE ACCOMPANIED BY 2 (TWO) SETS OF CONSTRUCTION DRAWINGS AND 3 (THREE) ACCURATE, FULLY DIMENSIONED SITE PLANS (IF APPLICABLE) PERMIT PROJECT NAME: SITE CONTACT CONTACT EMAIL: DESCRIPTION OF NOTE BELOW ANY REVISIONS THAT APPLY TO THE PROJECT: I HEREBY CERTIFY THAT THE INFORMATION PROVIDED IS CORRECT AND THAT THE CONSTRUCTION ON THE ABOVE DESCRIBED PROPERTY, THE OCCUPANCY, AND USE WILL BE IN ACCORDANCE WITH THE LAWS, RULES, AND REGULATIONS OF THE STATE OF WASHINGTON AND THE CITY OF PUYALLUP MUNICIPAL CODE. DATE: SIGNATURE OWNER / AUTHORIZED AGENT PHONE # Indicate if you are increasing or decreasing square footage: Building Area (sq. ft.) 1st floor 2nd new____________remodel Garage Deck new____________remodel Basement___________new____________remodel Other new____________remodel Revised Project Valuation: Plumbing Changes Mechanical Changes Example: +1 sink or –2 water closets Example: 1+exhaust fan or –1 heat pump _____sink/lavatories _____garbage disposal _____furnace+/-100k _____air-conditioner _____water closet _____floor drains piping _____duct work _____tub/shower _____hood _____fireplace _____dishwasher _____diffusers _____exhaust fans _____water heater _____dryer vent _____boiler _____lawn sprinkler/backflow _____heat pump _____misc If this is a change of contractor, please provide the following: License OFFICE USE ONLY: ( ) Building: staff ( ) Plan: staff initials ( ) Eng: staff initials ( ) Fire: staff ( ) Traffic: staff initials *REVISION FEES