Get Kittitas County Preliminary Site Analysis Fee Form

KITTITAS COUNTY COMMUNITY DEVELOPMENT SERVICES 411 N. Ruby St. Suite 2 Ellensburg WA 98926 CDS CO. KITTITAS.WA. US Office 509 962-7506 Fax 509 962-7682 Building Partnerships Building Communities PRELIMINARY SITE ANALYSIS FEE 50. KITTITAS COUNTY COMMUNITY DEVELOPMENT SERVICES 411 N* Ruby St* Suite 2 Ellensburg WA 98926 CDS CO. KITTITAS*WA. US Office 509 962-7506 Fax 509 962-7682 Building Partnerships Building Communities PRELIMINARY SITE ANALYSIS FEE 50. 00 The PSA provides general information about a parcel and must be completed prior to applying for a building permit. This review will be completed within 7-10 business days. TRACKING REQUESTER INFORMATION Phone Number Name Mailing Address Email Send PSA by Mail ADDITIONAL CONTACT INFORMATION PROPERTY ADDRESS MAP OR PARCEL NUMBER PROJECT DESCRIPTION If the proposed project location is known please provide a site plan DOES THE PROPOSED PROJECT INCLUDE PLUMBING Yes No IS THERE AN EXISTING POTABLE WATER SOURCE IF YES PLEASE SELECT ONE OF THE FOLLOWING Individual Well Shared Well Public Water System AUTHORIZATION I hereby acknowledge that I have read this application and certify under penalty of perjury under the laws of the State of Washington that the above answers are true and complete to the best of my knowledge. I agree to comply with all current codes laws regulations and permit requirements related to this project. I hereby certify that I will pay all fees as required by law. All permit fees are non-refundable. Signature of Applicant Application Received By CDS Staff Signature Date Receipt DATE STAMP NOTE Kittitas County CDS cannot guarantee eligibility for development until a complete and accurate application is submitted* PSA applications expire after 365 days from the application date COMMUNITY PLANNING BUILDING INSPECTION PLAN REVIEW ADMINISTRATION PERMIT SERVICES CODE ENFORCEMENT. US Office 509 962-7506 Fax 509 962-7682 Building Partnerships Building Communities PRELIMINARY SITE ANALYSIS FEE 50. 00 The PSA provides general information about a parcel and must be completed prior to applying for a building permit. 00 The PSA provides general information about a parcel and must be completed prior to applying for a building permit. This review will be completed within 7-10 business days. TRACKING REQUESTER INFORMATION Phone Number Name Mailing Address Email Send PSA by Mail ADDITIONAL CONTACT INFORMATION PROPERTY ADDRESS MAP OR PARCEL NUMBER PROJECT DESCRIPTION If the proposed project location is known please provide a site plan DOES THE PROPOSED PROJECT INCLUDE PLUMBING Yes No IS THERE AN EXISTING POTABLE WATER SOURCE IF YES PLEASE SELECT ONE OF THE FOLLOWING Individual Well Shared Well Public Water System AUTHORIZATION I hereby acknowledge that I have read this application and certify under penalty of perjury under the laws of the State of Washington that the above answers are true and complete to the best of my knowledge. This review will be completed within 7-10 business days. TRACKING REQUESTER INFORMATION Phone Number Name Mailing Address Email Send PSA by Mail ADDITIONAL CONTACT INFORMATION PROPERTY ADDRESS MAP OR PARCEL NUMBER PROJECT DESCRIPTION If the proposed project location is known please provide a site plan DOES THE PROPOSED PROJECT INCLUDE PLUMBING Yes No IS THERE AN EXISTING POTABLE WATER SOURCE IF YES PLEASE SELECT ONE OF THE FOLLOWING Individual Well Shared Well Public Water System AUTHORIZATION I hereby acknowledge that I have read this application and certify under penalty of perjury under the laws of the State of Washington that the above answers are true and complete to the best of my knowledge. I agree to comply with all current codes laws regulations and permit requirements related to this project.