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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH I SITE PLAN FOR REVIEW) Date: 3/1/2016 <br /> Permit#: PW1603-005 <br /> PROJECT ADDRESS: 600 10TH ST <br /> DESCRIPTION OF WORK: SITE WORK-JETTY LANDING-PORT OF EVERETT <br /> CONTACT INFORMATION: <br /> OWNED APPLICANT: <br /> NAME: PORT OF EVERETT NAME: [ApeName] <br /> ADDRESS: 1205 CRAFTSMAN WAY SUITE 200 ADDRESS: [AppAdd] <br /> EVERETT,WA,98201 [AppCi],[AppSt],[AppZIp] <br /> PHONE: 4252593164 PHONE: [AppPhone] <br /> EMAIL: EMAIL: [ApeEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: BRANDON WHITAKER <br /> PHONE: 4253880613 <br /> EMAIL: BWHITAKER@PORTOFEVERETT.COM <br /> COMMENTS FROM PUBLIC/WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 6A YES ❑ NO W.O.#: <br /> Notes: Associated BIdgJPW Permit#:6/603-NO]Bl oo-OI] <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> El YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> yl 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 /> 0 Meter Only, 0 Complete Service, Size 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> 1NO ❑ NO <br /> Explanation: Explanation: <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 /> El YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> X(NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 0 YES—Amount$ 0 See Attached Spreadsheet <br /> XNO--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 /> El YES—Amount$ 0 See Attached Spreadsheet <br /> %NO <br /> A DRESS LETTER REQUIRED? (If yes(ne assigned address), print out Address Letter from TRAKIT Print Menu and include) <br /> 'EYES—TYPE C107/1I11 ( '/9 - xi See Attached Letter <br /> 0 NO <br /> 44 131( ./ 1f-1.2--2016 <br /> Public Works Reviewer Signature Dale <br /> REVISED 2/24/2016 <br />