Full Text
Extension or Connection of Water or Sewer Service Outside of Puyallup City limits Application This application is required for projects needing to extend or connect into water or sewer mains outside of Puyallup City limits Extension or Connection of Water or Sewer Service Outside of Puyallup City limits Application – June 2023 Page 1 of 2 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 • Small Project: less than 10,000SF of new structural area or 20,000SF of total affected site development area = $690 • Medium Project: = 10,000SF -19,999SF of new structural area or 20,000SF – 39,999SF of total affected site development area = $1,250 • Large Project: 20,000SF or greater new structural area or 40,000SF or greater total affected site development area = $1,890 Effective Per 4/1/23 City of Puyallup Fee Schedule Submittal Instructions Create an account at Select “Apply for an Engineering Permit” From the Choose Application Type drop down list, select “Utility Extension/Connection Outside City Limits”. 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. Property Information Site Address: Parcel Number: New structural area in square Total Affected Site Development Area in square feet: Description of the project for which the service is sought: (The project description shall be sufficiently detailed to enable the City to determine whether service is available, and to address any related issues, such as those concerning usage, supply line location, connections, meter type, supply volume and pressure, fire flow, and other related issues): 1 2 3 ---PAGE BREAK--- Extension or Connection of Water or Sewer Service Outside of Puyallup City limits Application Extension or Connection of Water or Sewer Service Outside of Puyallup City limits Application – June 2023 Page 2 of 2 NOTE: Per Puyallup Municipal Code 17.42.035. Applications shall expire by limitation if not permit or approval is issued within 180 days after the city determines that the applications complete, unless 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 Applicant Information Name: Mailing Address: City: State: Zip Code: Phone: E-mail to Receive Markup Letter: Note: Be sure to submit proof that the applicant has legal authority to act on behalf of the owner with respect to the application Owner Information (Fill out if the applicant is not the property owner) Name: Mailing Address: City: State: Zip Code: Phone: E-mail: Type of requested service Use the check boxes below to indicate the type of development request ☐Residential or ☐ Commercial ☐Water and/ or ☐ Sewer Use the check boxes below to ensure the following documents are submitted as applicable at the time of application ☐ 1. Completed and Signed Extension or Connection of Water or Sewer Service Outside of Puyallup City Limits Application ☐ 2. Site Plan (Plans drawn to scale, showing existing and proposed new construction, see requirements here.) 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 SIGN