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Utility Service Connection Application A Utility Service Connection Permit is required for any new service connections to the City's sanitary sewer or water systems. For residential water services, the applicant may pay for the water service tap, placement of the service line and meter install, or hire a licensed and bonded contractor to conduct this work themselves via an additional right of way permit. Note: The city does not install sewer services for residential homes. Additionally, the city will not install any water or sewer service for commercial projects.For sanitary sewer repairs, the Permit Fee for On-Site Inspection and Permit Fee for On-site Repair are assessed. For sanitary sewer stub connections, the Permit Fee for On-Site Inspection and Sewer CCTV (lateral) are assessed. For sanitary sewer tap connections, the Permit Fee for Tap & On-Site Inspection and Sewer CCTV (lateral) are assessed. Utility Service Connection Application – June 2023 Page 1 of 3 NOTE: Per Puyallup Municipal Code 17.42.035. Applications shall expire by limitation if no permit or approval is issued within 180 days after the city determines that the application is complete, unless the city determines that a project proponent has pursued issuance of a permit or approval in good faith. Development Services 333 S. Meridian Puyallup, WA 98371 Phone: [PHONE REDACTED] www.cityofpuyallup.org Application Fees Water • 5/8” Meter Set: $465 • 1” Meter Set: $595 • 1.5” Meter Set: $2,000 • 2” Meter Set: $2,255 • 1” Tap & Service Line, 5/8” Meter Set: $4,680 • 1” Tap & Service Line, 1” Meter Set: $4,980 • 2” Tap & Service Line, 1 ½” Meter Set: $8,835 • 2” Tap & Service Line, 2” Meter Set $9,295 • Water Sewer System Development Charges: See City of Puyallup Fee Schedule Sewer • Permit Fee for Tap & On-Site Inspection: $280 • Permit Fee for On-Site Inspection: $170 • Permit Fee for On-Site Repair: $30 • Sewer CCTV: $93/hour with 2-hr minimum • Sewer System Development Charges: See City of Puyallup Fee Schedule Submittal Instructions Create an account at or Sign into the CityView Portal Select “Apply for an Engineering Permit” From the Choose Application Type drop down list, select “Utility Service Connection”. Fill out all sections of the online form and upload all required documents. Note: Failure to upload all the required documents for Step 7 Upload Files may delay the processing of your application. Site Address: Parcel Number: Scope of Work: Owner Information Name: Mailing Address: City: State: Zip Code: Phone: E-mail to Receive Markup Letter: Project Information 1 2 3 ---PAGE BREAK--- Utility Service Connection Application Utility Service Connection Application – June 2023 Page 2 of 3 NOTE: Per Puyallup Municipal Code 17.42.035. Applications shall expire by limitation if no permit or approval is issued within 180 days after the city determines that the application is complete, unless the city determines that a project proponent has pursued issuance of a permit or approval in good faith. Development Services 333 S. Meridian Puyallup, WA 98371 Phone: [PHONE REDACTED] www.cityofpuyallup.org Contractor Information Name: Mailing Address: City: State: Zip Code: Phone: E-mail: WA State License # : City Business License # : Use the check boxes below to indicate whether the project is Residential or Commercial and the proposed Pipe Material, Size, etc. Note: New utility service connections for commercial building’s require a separate civil permit. ☐ Residential Sewer Connection See CS 04.03.03 and 04.02.01 Pipe Material = Pipe Diameter = Length of Pipe from Main to Structure = No. of Cleanouts = ☐ Residential Water Connection See CS 03.03.01 and 03.03.02 Pipe Material = Pipe Diameter = Length of Pipe from Meter to Structure = Water Meter Size = ☐ 5/8” ☐ 3/4" ☐ 1” ☐ 2” Other: Is a commercial Building Permit associated with the project? ☐ Yes ☐ No If yes, fill out the table below, otherwise include the following Plumbing Fixture Worksheet for the city to review. ☐ Commercial Sewer Connection See CS 04.03.04 and 04.02.01 Note: New utility service connections for commercial building’s require a separate civil permit. Pipe Material = Pipe Diameter = Length of Pipe from Main to Structure = No. of Cleanouts = ☐ Commercial Water Connection See CS 03.03.02 and 03.03.03 Note: New utility service connections for commercial building’s require a separate civil permit. Pipe Material = Pipe Diameter = Length of Pipe from Main to Structure = Water Meter Size = ☐ 5/8” ☐ 3/4" ☐ 1” ☐ 2” Other: Is the water service for irrigation? ☐Yes ☐No ☐N/A if yes, a backflow device is required. See city standards 03.04.01, 03.04.02, and 03.04.03 for appropriate backflow devices. Additional Project Information ---PAGE BREAK--- Utility Service Connection Application Utility Service Connection Application – June 2023 Page 3 of 3 NOTE: Per Puyallup Municipal Code 17.42.035. Applications shall expire by limitation if no permit or approval is issued within 180 days after the city determines that the application is complete, unless the city determines that a project proponent has pursued issuance of a permit or approval in good faith. Development Services 333 S. Meridian Puyallup, WA 98371 Phone: [PHONE REDACTED] www.cityofpuyallup.org Use the check boxes below to ensure the following documents are submitted as applicable at the time of application ☐ 1. Completed and Signed Utility Service Connection Application ☐ 2. Site Plan ☐ 3. Traffic Control Plan (Required for any proposed work in the public right of way) ☐ 4. Plumbing Fixture Worksheet (Required for commercial projects with no building permit associated with this application) Use the check boxes below to ensure the contractor has the following information for work in the right of way ☐ 1. City of Puyallup Business License. [PMC 5.04] ☐ 2. $5,000 Street Obstruction Bond (on City of Puyallup form) and Power of Attorney attached. [PMC 11.04] ☐ 3. Certificate of Insurance evidencing commercial general liability insurance with minimum limits no less than $2,000,000 each occurrence, $2,000,000 general aggregate and a $2,000,000 products-completed operations aggregate limit and automobile liability insurance with a minimum combined single limit for bodily injury and property damage of $1,000,000 per accident;. The City of Puyallup shall be named as an additional insured under the applicant’s General Liability Insurance policy using ISA additional Insured – State or Political Subdivision – Permits CG 20 12 or a substitute endorsement providing equivalent coverage. [PMC 11.04] ☐ 4. Active Washington State Contractor’s License. [Chapter 18.27 RCW] Certification I certify that I have read this application and declare under penalty of perjury that the information contained herein is correct and complete. Signature of Applicant: Date: Submittal Checklist Work in Public Right of Way License and Bonding Requirements SIGN