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_-.- tea <br /> 477. PUBLIC WORKS ( Rw' _,G -f <br /> REVIEW WORKSHEET \ <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/9/2016 <br /> Permit#: PW1609-019 <br /> PROJECT ADDRESS: 2 112TH ST SW 2 Duptexs l y, corm-y �.�v Sew¢j <br /> DESCRIPTION OF WORK: INSTALL PRIVATE ROADWAY FOR 2 NEW DUPLEXES (., c h2Y QI f'�(vet a <br /> CONTACT INFORMATION: uSe. Z' i i St S Irk/ '� <br /> OWNER: U v f f A B Cb APPLICANT: <br /> NAME: BRESKE FRED NAME: BRESKE FRED <br /> ADDRESS: 6621 FOSTER SLOUGH RD ADDRESS: 6621 FOSTER SLOUGH RD <br /> SNOHOMISH,WA,98290 SNOHOMISH,WA, 98290 <br /> PHONE: 2067159581 PHONE: 2067159581 <br /> EMAIL: FREDBRESKE@GMAIL.COM EMAIL: FREDBRESKE@GMAILCOM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: BRESKE FRED <br /> PHONE: 2067159581 <br /> EMAIL: FREDBRESKE@GMAIL.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?EYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 'YES-Type /3 D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0NExplarration: !^vice S qhs coMS11 614(6h Fir <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? 4P ilew n -+ 29o0 <br /> iOMESTIC SERVICE: Zv <br /> -t- 2 90 0 FIRE SERVICE: <br /> AYES-Amount$ /f 0 YES-Amount$ <br /> 0 Meter Only, "Complete Service, Size ¢Z90� 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO -I--+ 2900 ❑ NO <br /> !p <br /> Explanation: . L iJ 600 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): t(Re <br /> J4f6z Y' L4)t CL fi s-A t( F;Ple 1/),-01, 611 a(S4 05 mci;pi, <br /> SEWER FEE? f $ueS-1 n5 t;SI/Pvtect--e) 4 7004°b <br /> "Sec a#0c4ej <br /> �, YES-Amount$ /Q— , New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO A -�—` <br /> Explanation: earl) , —17 <br /> Existing Utility Permit#(if applicable): ou+ crd e (''t�y 4.4°57R 5-- <br /> jt <br /> SYSTEM DEVELOPMENT FEE? q �' `�t'� <br /> 'ES-Amount$ ❑ See Attached Spreadsheet ` 5j / � i 3 d �!u 7 . <br /> ❑ NO-No Change of Use/Other , 1.4044 tri <br /> Explanation: <br /> 3/,905r) 4.4/0 - 2 7SS 7 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) CAr'Q 4 a -rev‘ <br /> TRAFFIC MITIGATION FEE? e,,7C i S{-'CryA (,Nl2ci;S i i oVSe <br /> ❑YES-Amount$ 0 See Attached Spreadsheet tAJ(X.-kin eAt: <br /> Ar NO I35`ZS�ZSR, �4-410°c�Credi-f) <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 /> ONO <br /> PW Reviewer: Date: <br /> cif,e//:(1,4676_4_ 3-3/1,---)7 <br /> REVISED 10/11/2016 :f-`,,__-1\ <br />