Fillable City of Sumner Varia nce Permit Application (City of Sumner)

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City of Sumner Varia nce Permit Application (City of Sumner)

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The City of Sumner Varia nce Permit Application (City of Sumner) form is 1 page long and contains:

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  • 6 check-boxes
  • 30 other fields

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File type: PDF

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BROWSE CITY OF SUMNER (WA) FORMS

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City of Sumner
Varia
nce Permit
Application
(Please fill out ALL fields unless otherwise noted)
Supporting Materials Required:
Office Applicant - (please check off all “applicant” boxes)
This Application Form and Checklist
Site Plan 4 - Copies 11” x 17”
1 - Full Sheet 24” x 36”
Building envelope with building setbacks
Environmental constraints delineated
Streets in relationship to the proposed building
Location of easements (if any)
Stormwater/open space locations
Parking configuration
Accessible spaces
Location of fire hydrants
Fire access lanes
Floor Plans (if applicable) 4 - Copies 11” x 17”
1 - Full Sheet 24” x 36”
Identification of the use of all areas
Proposed use of the spaces and storage arrangements
Design Review Conditions added to plans (if applicable)
Cover letter addressing criteria of SMC18.50.030
Mailing list of all property owners within 500 ft, 1000 if project is in M1 zone
1 - Copy
Electronically (Excel)
Permit fee (Please consult the Permit Specialist for the fee amount)
Site/Project Address (if available): Parcel #:
Owner: Phone: Email:
Owner Address: City: State: Zip:
Surveyor/Engineer/Contractor: Phone: Contractor License Number:
Address: Email: City: State: Zip:
Contact Person: Phone: Fax:
Contact Address: Email: City: State: Zip:
Description of Project:
Community Development
1104 Maple Street, Suite 250
Sumner, WA 98390
Tel. (253)299-5530 Fax: (253)299-5539
www.ci.sumner.wa.us
File Number: __________________________
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.
**BY LEAVING THE CONTRACTOR INFORMATION SECTION BLANK, I HEREBY CERTIFY FURTHER THAT CONTRACTORS (GENERAL OR
SUBCONTRACTORS) WILL NOT BE HIRED TO PERFORM ANY WORK IN ASSOCIATION WITH THIS PERMIT. (building permits only)
_______________________________________________________ ______________________________________________ DATE: ______/_____/_____
SIGNATURE OF OWNER / AUTHORIZED AGENT PRINTED NAME
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City of Sumner Varia nce Permit Application (City of Sumner)

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Completed 16 July 2020

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