HomeMy WebLinkAboutPC-Grading_PermitC:1TY OF
AUBURN Building Division
25 West Main Street
WASH IIIC;TON Auburn, WA 98001
(253) 931-3020
Grading Permit Application
For Staff Use Only
Permit Number
Date Submitted
Received By
Project Information/Description:
Site Address: Parcel No. (Required):
Legal Description:
Description Of Work:
Property Owner: Phone/Hm: Phone/Wk:
Address:
(City/St/Zip)
Project Contact: Phone:
Contractor: Phone:
Address:
State Contractor's License #: Business Registration No.
Engineer: Phone:
Address:
(City/St/Zip)
Architect: Phone
Address:
(City/St/Zip)
Estimated Completion Date: Amount of Fill: Amount Exported:
Amount of Excavation: Max Depth Fill: Soil Rpt By:
Max Depth of Exc: Max Slope Fill: Eng Geol Rpt By:
Max Slope Exc: Amount Imported: Project Value:
NOTE:
1) This permit does not constitute approval or compliance with the rules, regulations, or requirements of any other
jurisdiction, which may relate to the above project.
2) Check with U.S. Army Corps of Engineers for possible permit requirements.
3) Permits are non-transferable.
4) HAUL ROUTES SHALL BE REQUIRED FOR ALL FILLS IN EXCESS OF 500 CUBIC YARDS. HAUL ROUTES
SHALL BE SUBMITTED FOR APPROVAL PRIOR TO ISSUANCE OF THE GRADING PERMIT.
I CERTIFY THAT THE INFORMATION FURNISHED BY ME IS TRUE AND CORRECT AND THAT THE APPLICABLE
CITY OF AUBURN REQUIREMENTS WILL BE MET.
Owner/Agent: Date:
Printed:
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