1

Loud work, deliveries and any type of work that disrupts traffic or impacts sidewalks is prohibited during holidays and events.

 *

Loud work, deliveries and any type of work that disrupts traffic or impacts sidewalks is prohibited during holidays and events.

Building Permit/Log Number:

Street Address:

Mailing Address (if different than Street Address):

Responsible Party making the request:

Phone number and email:

Dates and times requested to work:

Type of work to be done during restricted dates (please describe):

2

This form is a request for the Park City Building Official to review the permit for consideration of an exception to work on restricted work dates. Completing this form does not constitute the approval of an exception.

This form is a request for the Park City Building Official to review the permit for consideration of an exception to work on restricted work dates. Completing this form does not constitute the approval of an exception.

Applicant Signature:

Date:

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3

For Office Use Only

For Office Use Only

Building Official Signature:	Date:
Code Enforcement:	Date:
Approved (see conditions below)	Denied
Conditions/Explanation:

Work approvals on restricted dates will be revoked if complaints are received by the building department or the Police department.

1. To receive a copy of your submission, please fill out your email address below and submit.
2. Email Address

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