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Revised 10/15 Signature of Applicant: Date ALTERNATIVE METHODS OR CONSTRUCTION MATERIALS REQUEST Engineering Design Standards SITE ADDRESS: PARCEL NO: ZONING: PROJECT NAME: This request must be filled out completely for the City to consider any deviations from their design standards and requirements for engineering design. Please be aware the City of Puyallup’s design standards are MINIMUM requirements. These requirements are considered by the City as fair, reasonable and promote public safety. The applicant is obligated to convince City staff this request is necessary, justifiable, and will not reduce public safety. To be granted, all departments must be in agreement. When preparing this application, please print or type the reply to each question. Incomplete applications will delay the timeliness of the review. This application is the sole basis for approval of deviations from standards, be sure to attach any and all supporting documentation to the application. If you have any questions, please contact the Engineering Services at (253) 841-5568. Application Fee: $250.00 OWNER Name: Address: City St Zip: Contact No: Email: ENGINEER/ARCHITECT Name: Address: City St Zip: Contact No: Email: CONTRACTOR Name: Address: City St Zip: Contact No: Email: APPLICANT Name: Address: City St Zip: Contact No: Email: ---PAGE BREAK--- Revised 10/15 Items 1-9 are issues and concerns that must be addressed by the applicant. If additional reports, supporting documents and attachments are necessary to clarify/support this request, material shall be listed in item 9 and referenced within items 1-9. 1. Describe the proposed modification (from what requirements are you seeking relief?). 2. Describe how the proposed modification is based on sound engineering principles. (Granting the modification will not result in risk or harm to the public related to storm drainage, traffic, water, sanitary sewer, transportation, fire protection or structural matters). 3. Describe how a strict application of the requirement would impose an undue hardship on the applicant. 4. Describe how the requirements for safety, environmental considerations, function, appearance and maintainability would be fully met, assuming the granting of your request. 5. Describe how the granting of the modification provides adequate protection of the public health, safety and welfare. 6. Does this request require different maintenance cycles, equipment or skills? 7. Does this request provide for a service life equal to or greater than the City requirement? 8. Describe how the granting of the modification will be in the best interest of the public? 9. List reports, supporting documents and attachments accompanying this request: ---PAGE BREAK--- Revised 10/15 STAFF RECOMMENDATIONS APPROVED DENIED DATE Development Engineering Conditions: Planning Department Conditions: Traffic Engineering Conditions: Public Works - Streets Conditions: Public Works - Water Conditions: Public Works - Collections Conditions: Stormwater Engineer Conditions: Fire Code Official Conditions: Police Department Conditions: APPROVED DENIED DATE City Engineer CONDITIONS: