CIVIL PERMIT APPLICATION

Site Information

Inside City Limits

Outside City Limits

Project Name:

Scope:

Parcel Number:

Request for Traffic Study Review:

Scoping Letter

Traffic Impact Analysis

Request for Infrastructure Plan Review:

Commercial/ Retail/ Multi-Family

Short Plat

Long Plat

Retaining Wall

Grade and Fill

Grease Interceptor

New Utility Connection

Stormwater Review

Number of Lots:

New Utility Connection Type:

Water

Sewer

Required Fire Flow (GPM):

Number of Lots:

Number of Cubic Yards:

Proposed Valuation:

Commercial proposing new and/or replaced impervious surface:

Under 2,000 square feet

Between 2,000 – 4,999 square feet

5,000 square feet or more

Applicant Information:

Name (Company):

Phone Number

Email:

Engineering Firm:

Name (Company):

UBI:

Phone Number

Email:

Upload Documents (1-10):

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Upload Documents (11-20):

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Signature of Applicant

First Name

Last Name

Choose how to sign

Draw Type

I hereby state that I am the applicant listed above, and certify that all information contained above and in exhibits attached hereto is true and correct to the best of my knowledge and belief and is submitted for consideration by the City of Bonney Lake, pursuant to the provision of the Bonney Lake Municipal Code. It is understood that the processing of this application may require additional supporting evidence, data or statements upon request of City staff.