City of Sumner
Site Development
Application
(Please fill out ALL fields unless otherwise noted)
CIVIL PERMIT: ☐COMMERCIAL DEVELOPMENT ☐SUB-DIVISION / RESIDENTIAL DEVELOPMENT
Site/Project Address (if available):
Surveyor/Engineer/Contractor:
Contractor License Number:
Supporting Materials Required:
Office Applicant - (please check off all applicable “applicant” boxes)
☐ ☐ Site Plan (1:40 scale)
☐ Building envelope with building setbacks
☐ Environmental constraints delineated
☐ Streets in relationship to the proposed building including sidewalks, curb, alley, driveway
☐ Location of easements (if any)
☐ Stormwater/open space locations
☐ Parking configuration / Accessible spaces
☐ Utility connections from source to the building (water, sewer, storm)
☐ Location of fire hydrants
☐ Fire access lanes
☐ ☐ Civil Plans
☐ Erosion Control
☐ Engineered and stamped by a Washington State licensed engineer.
☐ Road and storm detail
☐ Water and Sanitary Sewer (separate sheet from road and storm)
☐ ☐ Storm Report
☐ ☐ Landscape plan
☐ ☐ Geotechnical Report (Consult Building Official)
☐ ☐
PDF Copy of all submitted documents
(Consult Permit Specialist for paper copy requirements)
I HEREBY CERTIFY THAT I HAVE READ AND EXAMINED THIS APPLICATION AND KNOW THE SAME TO BE TRUE AND CORRECT. ALL PROVISIONS OF LAWS AND
ORDINANCES GOVERNING THIS TYPE OF WORK WILL BE COMPLIED WITH WHETHER SPECIFIED HEREIN OR NOT.
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________________________________________________ _____________________________________________ DATE: _____/_____/______
SIGNATURE OF OWNER / AUTHORIZED AGENT PRINTED NAME
Community Development
cd@sumnerwa.gov
(253)299-553
0
www.sumnerwa.gov
File Number: __________________________
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