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Site Information Review Fees Project Type: Plan review and record drawing review fee: ☐Comercial/ Medical/ Multi- Family ☐Comercial/ Multi- Family/ Major Plat/Short Plat $670.00 ☐Improvements assiciated with the Building Permit ☐Off-site, water/ sewer/ storm main extension/ grease interceptor/ oil separator $560.00 ☐Residential; Single Family/ Duplex Plan review plus $200 record drawing review fee: ☐Residential Short Plat ☐Clearing only $70.00 ☐Residential Subdivision ☐0-50 cubic yards $130.00 ☐Frontage Improvements ☐51-100 cubic yards $240.00 ☐Other ☐101-1,000 cubic yards $510.00 Short Plat: ☐1,000-10,000 cubic yards $760.00 ☐Short Plat is recorded ☐10,001-100,000 cubic yards $1,000.00 ☐Short Plat is not recorded ☐+100,000 cubic yards $1,240.00 CERTIFICATION: I certify that I have read this application and declare that the info contained herein is correct and complete. Signature of Applicant: Date: Print Name: Civil Construction Permit Application OWNER Name: Address: Contact No: City: Email: State, Zip: APPLICANT Name: Address: Contact No: City: Email: State, Zip: ENGINEER / ARCHITECT Name: Address: Contact No: City: Email: State, Zip: CONTRACTOR Name: Address: Contact No: City: Email: State, Zip: Site Information Project Name: P - Site Address: Parcel No: Zoning: Submittal Date: Civil Permit No: Related Case No: Accept ance Criteria Checklist Applicant City Received Yes No Yes Documents ☐ Plan Sheets – electronic submittal only ☐ ☐ Cover Sheet ☐ ☐ Notes and Details ☐ ☐ Existing Conditions ☐ ☐ Erosion and Sediment Control ☐ ☐ Grading ☐ ☐ ☐ Road Plan and Profile ☐ ☐ Utility Plans (water, sanitary and storm) ☐ ☐ ☐ Street Lighting ☐ ☐ ☐ Channelization (i.e. signalization) ☐ ☐ ☐ ☐ ☐ ☐ Landscape Plan ☐ ☐ ☐ ☐ ☐ ☐ Critical Areas Report (If applicable) ☐ ☐ ☐ ☐ Checked in by Date: Applicant must include this completed form with the initial application submittal. Submit all documents electronically to: [EMAIL REDACTED] 4/2021 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. Water Purveyor ☐ ☐ ☐ Fruitland Mutual Water Company Tacoma Water Valley Water System Stormwater Site Plan Report Technic al Information Report (TIR) electronic SIGN