HomeMy WebLinkAboutPC-Residential_Building&CITY OF *
Building Division
AUBURN 25 West Main Street
Auburn, WA 98001 For Staff Use Only-
WAS H I NIGTO \l (253) 931-3020
Application No:
Residential Permit Application
Permit Type: QNew QAddition QAlteration Q Demolition Value of Constriction $
Project Information:
Site Address:
Parcel No.: (required) Legal Description:
Property Owner: Address: Phone No.:
Project Contact: Phone No.: Email:
Contractor: Phone No.:
Address:
State Contractors License Auburn Business License
Architect: Phone No.:
Address: Email:
Engineer: Phone No.:
Address: Email:
Description of Work:
Basement sq ft Vacant Site (Yes/ No)
Garage sq ft
1'r Floor sq ft Mobile Home (Yes/No)
Covered Deck sq ft
2"" Floor sq ft Number of Units
Covered Porch sq ft
Total sq ft ' Parking Provided
Uncoy
d Deck sq ft
Number of bedrooms
Plumbing (please indicate the number of new or relocated fixtures)
Bathtub Toilet
Water Service
Shower /Tub Combo Hot Water Tank (size of pipe inches)
Clothes Washer Kitchen/Bath/Laundny Sink
Dishwasher Modular Building Connection Total Number of Fixtures
Hose Bibb Other
Mechanical (please indicate the number of new or relocated appliances)
Air Conditioner / Heat Pump Gas Cook Top Other
Fans - Stationanz, incl. whole house Gas Dryer Wall Heater
Fireplace Insert Gas Piping (# of outlets) Vents / Single Ducts
Furnace < 100.000 BTUs Gas Stove/Range Water Heater
Total Number of Fixtures
I certifV the information furnished by me is true and correct and that I am the owner of the subject property or I have been given
express permission by the owner of the subject property, to submit this application for permit. I will comply with all provisions of
law. code and ordinances governing this type of construction work, including state contractor registration laws.
Application expires 180 days after Date Submitted
Owner/Agen
E:\Multimedia\Planning\Permits\RESIDENTIAL PERMIT APPLICATION.DOC 6/7/2007