Laserfiche WebLink
477- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/6/2018 <br /> Permit#: PW1804-012 <br /> PROJECT ADDRESS: 1412 63RD ST SE <br /> DESCRIPTION OF WORK: NEW SFR DETACHED <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KRAVCHUK SERGEY&OLGA NAME: OWNER <br /> ADDRESS: 10402 33RD ST SE ADDRESS: <br /> LAKE STEVENS,WA, 98258 , <br /> PHONE: 4252199149 PHONE: <br /> EMAIL: CROYALHOMES@GMAIL.COM EMAIL: <br /> CONTACT: IJ Owner ❑ Applicant ❑Other <br /> NAME: OWNER <br /> PHONE: <br /> EMAIL: <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? OYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: cC 4- 001. <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 /> arKb <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: �" b FIRE SERVICE: <br /> ▪ S—Amount$ 3O 1(p u 0 YES—Amount$ <br /> 0 Meter Only, , Complete Service, Size 3/4 ❑'/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO MNO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(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 /> R YES—Amount$ 10 ` Igl New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): C� - `� ( , 3 <br /> SYSTEM DEVELOPMENT FEE? -���---' (AZ .�� <br /> $,YES—Amount$ (�I�0- "t, 0 See Attached Sp f e <br /> ❑ NO—No Change of Use/Other <br /> Explanation: tq'G{,t) Kerne /reett ( Z.OUj d' - Poo F W 7n vc-(t e Ow�( Go►ti0 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) CA rb 0 y-C FV'P.yl. <br /> TRAFFIC MITIGATION FEE? g pp )) <br /> Al YES—Amount$ 2-4 00e 0 See Attached Spreadsheet <br /> 0N <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: 6g4_ /(e <br /> REVISED 10/11/2016 F� <br />