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4err PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/28/2016 <br /> Permit#: B1603-064 <br /> PROJECT ADDRESS: 3001 OAKES AVE <br /> DESCRIPTION OF WORK: HISTORIC RESTORATION OF EXTERIOR-CARNEGIE RESTORATION „os11) <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: SNOHOMISH CO PROP MGMT NAME: SNOHOMISH COUNTY ki‘;01' . <br /> ADDRESS: 3000 ROCKEFELLER AVE M/S 404 ADDRESS: 3000 ROCKEFELLER AVE <br /> EVERETT,WA,98201 EVERETT,WA,98201 <br /> PHONE: PHONE: 1 <br /> EMAIL: EMAIL: )(� ,�C <br /> CONTACT: 0 Owner 0 Applicant ❑Other r r” <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?.11 YES 0 NO W.O.#: <br /> Notes: ,s,i;2)C riU.,42.,e___ Q„ , Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO <br /> E planation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> ❑YES—Amount$ 0 YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> NO ❑ NO <br /> xplanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> VNO <br /> planation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 0 YES—Amount$ 0 See Attached Spreadsheet <br /> C�10—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> NO <br /> ADDRESS LETT R REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYP' 0 See Attached Letter <br /> 'NO <br /> p771 s Reviewer Signature . <br /> •-te <br /> REVISED 4/2016 <br />