HomeMy WebLinkAboutSurface Water Design Manual Adjustment Request Formrentonwa.gov/permitservices | developmentengineering@rentonwa.gov | 425-430-7240 4/3/2023 | Page 1 of 1
CITY OF RENTON Ι PERMIT SERVICES
STORMWATER ADJUSTMENT REQUEST
APPLICATION
PROJECT INFOMATION
PROJECT NAME:
PROJECT ADDRESS/LOCATION:
DESCRIPTION OF PROJECT:
RELATED PERMIT(S): C#: B#: LUA#:
TYPE OF CONSTRUCTION:
Short Plat (9 or less lots)
Tenant Improvement
Subdivision (10+ lots)
Commercial/Multi-Family
Addition to Existing—
Approx. Value of
Addition:_____________
THE PROPOSED STORMWATER FACILITIES SUBJECT TO THE ADJUSTMENT REQUEST WILL BE:
Public (owned and maintained by the City)Privately owned and maintained
APPLICANT INFORMATION
NAME: PHONE:
ADDRESS:
EMAIL:
ENGINEER INFORMATION
FIRM:
ADDRESS:
CONTACT NAME: PHONE:
EMAIL:
APPLICABLE SECTION(S) OF DESIGN STANDARDS BEING MODIFIED:
DESCRIPTION OF ADJUSTMENT REQUEST AND JUSTIFICATION (Reference Section 1.4—Adjustment Review Process):
Provide information on additional sheet as necessary
FOR STAFF USE ONLY DETERMINATION: APPROVED DENIED
Stormwater Adjustment No: Enclosed Written Decision dated: