Commercial Building Permit Application - City Of Auburn - 2016
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1
2COMMERCIAL BUILDING
Form updated
April 2016
PERMIT APPLICATION
Physical Address:
Mailing Address:
Webpage & Email:
Phone and Fax:
nd
Auburn City Hall Annex, 2
Floor
25 West Main Street
Phone: 253-931-3090
1 East Main Street
Auburn, WA 98001-4998
permitcenter@auburnwa.gov
Fax: 253-804-3114
PROJECT INFORMATION
Check all that apply: New Construction
Addition
Tenant Improvement (TI)
Permit Number #
New Tenant
Existing Tenant
For Tenant Improvements:
Cannabis Facility? Yes No
Operating As: Producer Processor Retailer
Parent Permit #
Project Valuation
$ _______________
(do not include cosmetic improvements such as paint and carpet)
Are you deferring impact fees or utility system development charges: Yes No
Received:
Job site address: ________________________________
Parcel # _________________
Complex Name: ______________________________ Building #: _________ Suite #____
Tenant Name: ________________________ Tenant’s Auburn Business License # ______
Deferred Submittals (check
Scope of Work:____________________________________________________________
all that apply):
_________________________________________________________________________
Mechanical
_________________________________________________________________________
Plumbing
For Roofing: # of Squares:________ # of Layers: _______ Torchdown: Yes
No
Fire
Check if this is the primary contact
Check if this is the primary contact
OWNER
CONTRACTOR
Name:___________________________________________
Company Name:__________________________________
Address:_________________________________________
Contact:____________________ Phone:______________
City:____________________ State:______ Zip:_________
Address: ________________________________________
Phone:___________________ Fax:___________________
City:____________________ State:______ Zip:_________
Contact Person:__________________________________
E-mail: __________________________________________
E-mail:__________________________________________
City of Auburn Business License #: BUS_____________
Phone:__________________________________________
State License #:__________________UBI #: ___________
Check if this is the primary contact
Check if this is the primary contact
ARCHITECT
ENGINEER
Company Name:__________________________________
Company Name:__________________________________
Architect:________________________________________
Architect:________________________________________
ID#:_____________________ Exp. Date: ______________
ID#:_____________________ Exp. Date: ______________
Address:_________________________________________
Address:________________________________________
City:____________________ State:______ Zip:_________
City:____________________ State:______ Zip:_________
Phone:___________________ Fax:___________________
Phone:___________________ Fax:___________________
E-mail:__________________________________________
E-mail:__________________________________________
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