CASH OR CHECK ONLY PLEAS
CITY OF LACEY
Community & Economic Development Department
420 College Street SE
Lacey, WA 98503
(360) 491-5642
Construction Type:
OWNER:
Address: City: State: Zip:
TENANT:
City: State: Zip:
Phone: Email:
Address: City: State: Zip:
Contractor's License No. Exp: City Bus. Reg.
Phone: Email:
Address: City: State: Zip:
Phone: Email:
Address: City: State: Zip:
NEW COMMERCIAL PERMIT APPLICATION
General Contractor:
THIS APPLICATION TO BE USED FOR NEW COMMERCIAL STRUCTURES AND RESIDENTIAL
NOTE: THIS APPLICATION MUST BE ACCOMPANIED BY TWO SETS OF CONSTRUCTION PLANS, TWO FULLY DIMENTIONED SITE PLANS,
ONE SET OF STRUCTURAL CALCS, ONE SET SPECIFICATIONS, AND ONE ENERGY CODE APPLICATION (IF APPLICABLE).
Name of Project:
Parcel Number:
THE 65% PLAN CHECK FEE IS REQUIRED AT THE TIME OF APPLICATION. CALL FOR AMOUNT, WE ACCEPT CASH OR CHECK ONLY.
PROJECTS CONTAINING THREE OR MORE UNITS.
Project Value:
No. of Disabled Parking Spaces:
Occupancy Type:
Phone Number:
Project Address:
4th Floor sf:
Applicant's Signature Print Applicant's Name Date
No. of Floors:
Fire Sprinklers: ( ) Yes ( ) NoFire Alarm: ( ) Yes ( ) No
Architect:
No. of Parking Spaces:
Phone Number:
the above described property will be in accordance with the laws, rules and regulations of the State of Washington.
Suite:
Building. Footprint:
CONTACT PERSON:
3rd Floor sf:2nd Floor sf:
Cell Phone:
Elevator: ( ) Yes, how many______ ( ) No
Proposed Scope of Work:
1st Floor sf:
Email:
Address:
I hereby certify that the above information is correct and that the construction on, and the occupancy and the use of
Total Area (sq.ft.):
Engineer:
FORM: BPC-2 / 09-06
click to sign
signature
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