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On-Site Services Application
For all on site servicing work
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City of Maple Ridge Revised 2017-06-24
11995 Haney Place, Maple Ridge, BC V2X 6A9 Tel: 604-467-7311 Fax: 604-467-7461
Trades Permit Applications: permitapplications@mapleridge.ca Enquiries only at: buldingenquiries@mapleridge.ca
Inspection Requests: inspectionrequests@mapleridge.ca
For Single Family & Duplex’s only - A site plan showing pipe location(s) and length is required.
For all others;
2 sets of sealed original on-site servicing drawings, detailed excavation & shoring/stabilization plans, and Erosion
& Sediment Control (ESC) Plan plus ESC Schedules A, D & E must be submitted with permit application.
DATE:
Construction Address:
Legal Description: Lot: Plan No.:
Registered Owner: Tel
Contractor's Business Name: Tel
(Contractors must have a current Maple Ridge Business Licence)
Coordinating Registered Professional Tel
Coordinating Registered Professional’s Signature
Civil Engineer Tel
Sub Type: Check One
SFD/Duplex Commercial Industrial Institutional Apart/Condo Apartment over Commercial
Work Type: Check One
On-
If other than new, explain in detail what you are doing:
Site serving questions below are based on the entire site.
# of Metres: Perimeter Drain # of Sumps
# of Metres: Storm Sewer # of Oil Interceptors
# of Metres: Sanitary Sewer # of Lawn Basins
# of Metres: Water Service # of Sewage Pumps
# of Fire Hydrants # of Forced Mains
# of Manholes # of Backflow Preventers
# of Catch Basins
NOTE:
1. Excavations that extend into municipal Right of Ways require approval from the Engineering Department Prior to permit
issuance.
2. Excavations that extend into adjacent private or public lands require written authorization from adjacent property owner
prior to permit issuance.
Contact Persons Phone #: Contact Person:
Contacts email: Permit No.:
Applicant’s Signature: Permit Fee: $
Office use only: