Fillable CITY OF NEWCASTLE Community Development Department BUILDING PERMIT (City of Newcastle)

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CITY OF NEWCASTLE Community Development Department BUILDING PERMIT (City of Newcastle)

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CITY OF NEWCASTLE
Community Development Department
Application Date:
Intake Staff:
Permit #:
ALL FIELDS MUST BE COMPLETELY FILLED OUT PRIOR TO SUBMITTAL
Property Address: ______________________________________________________________________________
King Co. Tax Parcel #: ___________________________________________________________________________
Description of Proposed Work: ___________________________________________________________________
Agreement
Applications for which no permit is issued within 180 days following date of application shall expire (IBC/IRC).
I hereby certify that I am the owner or owner’s authorized agent. If acting as an agent, I further certify that I am authorized,
by the owner, to act as the agent regarding the property at the above referenced address for the purpose of filing
applications, decisions, or review.
___________________________________________________________ _____________________________________
Owner or Owner’s Agent Date
Note: If work is performed or materials are received within Newcastle City Limits, use location code 1736 when completing State Tax Return Form.
BUILDING PERMIT APPLICATION
Property Owner: _____________________________________________Phone: _______________________
Mailing Address: ____________________________________________________________________________
Email Address: ______________________________________________________________________________
Contact Person: _____________________________________________Phone: ________________________
Mailing Address: ____________________________________________________________________________
Email Address: ______________________________________________________________________________
Contractor: _________________________________________________Phone: ________________________
State License #: ____________________________Newcastle Business License #: ________________________
Mailing Address: ____________________________________________________________________________
Architect: ___________________________________________________Phone: _______________________
Mailing Address: ____________________________________________________________________________
Email Address: ______________________________________________________________________________
Office Use Only Plan review fee $_________________
New Square Footage:
Living Space: ____________ OTHER (list type and sq. ft.): ______________
Garage: ________________ OTHER (list type and sq. ft.): ______________
Basement: ______________ OTHER (list type and sq. ft.): ______________
Deck/Misc.: _____________ OR Valuation from bid $__________________
Applicant: ___________________________________________________Phone: _______________________
Mailing Address: ____________________________________________________________________________
Email Address: ______________________________________________________________________________
12835 Newcastle Way, Suite 200, Newcastle, WA 98056 | 425.649.4444 | www.newcastlewa.gov
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CITY OF NEWCASTLE Community Development Department BUILDING PERMIT (City of Newcastle)

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Completed 14 July 2020

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