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lArrPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 1/19/2018 <br /> Permit#: PW1801-033 <br /> PROJECT ADDRESS: 2211 W CASINO RD <br /> DESCRIPTION OF WORK: PARKING LOT MODIFICATION ASSOCIATED WITH B1710-045 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: FLAKE DAVID&MARCIA NAME: [AppName] <br /> ADDRESS: 10704 64TH PL W ADDRESS: [AppAdd] <br /> MUKILTEO,WA,98275 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> EMAIL: � EMAIL: [AppEmail] <br /> ,--, o <br /> CONTACT: wner 0 Applicant ❑Other <br /> NAME: FLAKE DAVID <br /> PHONE: 4253159106 <br /> EMAIL: david.a.flake@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? LB' YES 0 NO W.O.#: <br /> Notes: frft✓J to S e+ ,5wie 15("VkehtAleti“1/0 ' Associated Bldg./PW Permit#:e'1 10 —04c <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> C'lYES—Type A 4'0 Cstrs (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: <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 /> Cil Meter Only, 0 Complete Service, Size El%" Detect Meter Only, ❑ Fire Service Size <br /> O [ANO <br /> Explanation: Explanation: 664' <br /> ❑ RPBA Needed at premis ?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑Water Department Cost Estimate Needed-(/f 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 /> I'NNO <br /> Explanation: esel. <br /> Existing Utility Permit#(if applicable): <br /> SY1TEM DEVELOPMENT FEE? <br /> OYES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other y'� <br /> Explanation: gm ZI4fl• 111,�yhrov 3 � K. 11. ��/d 4,fh _k = 47382.42 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable))W7��C <br /> TRAFFIC MITIGATION FEE? <br /> .YES—Amount$ A. (etst See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE 0 See Attached Letter <br /> NO <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 • <br />