REQUEST FOR PRE-CONSTRUCTION MEETING

Site Information

Project Name:

Permit Number:

Contact Person:

Applicant Information:

Name (Company):

Contact Name:

Phone Number:

Email:

Contractor:

Name (Company):

UBI:

Phone Number

Email:

Name and Email Address For Meeting Attendees:

Name and Email Addresses For Recipients of Approved Plans:

Signature of Applicant

First Name

Last Name

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I hereby state that I am the applicant listed above, and certify that all information contained above and in exhibits attached hereto is true and correct to the best of my knowledge and belief and is submitted for consideration by the City of Bonney Lake, pursuant to the provision of the Bonney Lake Municipal Code. It is understood that the processing of this application may require additional supporting evidence, data or statements upon request of City staff.