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4errPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/22/2017 <br /> Permit#: C1706-032 <br /> PROJECT ADDRESS: 9826 24TH DR SE <br /> DESCRIPTION OF WORK: ADD 1473 SF OF LIVING SPACE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: SETTLE SCOTT&DIANE NAME: [AppName] <br /> ADDRESS: 9826 24TH DR SE ADDRESS: [AppAdd] <br /> EVERETT,WA,98208 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> EMAIL: EMAIL: [AppEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] S <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 0 YES (NO W.O.#: f <br /> Notes: Su, nE 0. to HA 17Crt + Associated Bldg./PW Permit#: / <br /> AUcAY\ 4o 100k' 01k' on, k C <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES-Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> gNO <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%" Detect Meter Only, 0 Fire Service Size <br /> )1(NO ❑ NO <br /> Explanation: USF)?4 Sc A.2 Explanation: <br /> Niko RPBA Needed at premise?-(P/ bing 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 /> ANO <br /> Explanation: ( St- VASO ,Q svirvitit. <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES-Amount$ 0 See Attached Spreadsheet <br /> '-NO-No Change'` of Use/Other <br /> Explanation: AVO (. - <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 /> lai 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 /> (a A dim..., .../airvk JE A.___ <br /> REVISED 10/11/2016 <br />