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477- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/6/2018 <br /> Permit#: PW1803-016 <br /> PROJECT ADDRESS: 3815 SHORE AVE <br /> DESCRIPTION OF WORK: SITE WORK FOR REPLACMENT SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KENNEDY JOHN&DANYEL NAME: KENNEDY JOHN &DANYEL <br /> ADDRESS: 3815 SHORE AVE ADDRESS: 3815 SHORE AVE <br /> EVERETT,WA,98203 EVERETT,WA,98203 <br /> PHONE: PHONE: <br /> EMAIL: EMAIL: <br /> CONTACT: 'Owner 0 Applicant ❑Other <br /> NAME: KENNEDY JOHN&DANYEL <br /> PHONE: 2067935520 <br /> EMAIL: jkennedy@newwestsite.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#:%.41r'''' <br /> : <br /> PW Permit Required?'YES 0 NO ��rr W.O.#: h <br /> Notes: T W P11�nJ - lssocd ahead, on s/8/2AZ g Associated Bldg./PW Permit#: I C pto 3-�3 <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 /> O <br /> Explanation:plNOT Iz,EQt7l D- <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 /> Meter Only, 0 Complete Service, Size 0%" Detect Meter Only, 0 Fire Service Size <br /> NO NO <br /> Explanation: [Zeus£- ESC s**1 B 8/ /I E planation: <br /> It RPBA Needed at premise?-(Plumbing(ermit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> 0 K❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? �/ <br /> RYES-Amount$ 70‘.-11r eew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect • <br /> CI NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> YES-Amount$ 0 See Attached Spreadsheet <br /> la-No-No Change of Use <br /> r-/�Other ,�,�r., <br /> Explanation: USW IIO+/�g Of&e. L($dosF/ e/Yo(L ewe. ()mt. Zoo s/. We, <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) NO Fee.P . <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES-Amount$ 0 See Attached Spreadsheet <br /> )S NO t LAT- <br /> No FF/€ <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out <br /> AddresLs Letter f om TRAKiT <br /> RAKiT Print M nu anNr) <br /> 4rktaied, <br /> 13(YES-TYPE SEA- See Attached Letter —f( ,� aRtL I copy 'p Bala Q <br /> ❑ NO N-3sct n0-i /t T4 3✓ J <br /> Mt itk <br /> PW Reviewer: Date: <br /> r l , , 1Z; •____ g- Sr ZeC. <br /> REVISED 10/11/2016 <br />