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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/16/2018 <br /> Permit#: B1803-027 <br /> PROJECT ADDRESS: 8702 7TH AVE P-9 <br /> DESCRIPTION OF WORK: ADD(1) PORTABLE CLASSROOM -PORTABLE#9-EMERSON ELEM <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: EVERETT SCHOOL DIST 2 NAME: STUDIO MENG STRAZZARA <br /> ADDRESS: 4730 COLBY AVE ADDRESS: <br /> EVERETT,WA, 98203 , <br /> PHONE: PHONE: <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner ❑ Applicant ❑Other <br /> NAME: LEE STEVE <br /> PHONE: <br /> EMAIL: <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? IS(YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: 11030S--'O5'02o <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 /> gt 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 /> la NO IX NO <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 /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> INCNO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE?,,tt <br /> JSI YES—Amount$ 5/036 a9 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: 340422-0' 53" =tI $15% %Sig <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> EYES—Amount$ 3$1 .�✓� 0 See Attached Spreadsheet <br /> ❑ NO 4 265$1100°3f x 3/6SF.r portal& ,, 381,67 - ►6( tomiso f iL 111 <br /> 04 <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print enu and incluse) <br /> ❑YES—TYPE 0 See Attached Letter <br /> gNO <br /> PW Reviewer: 'sr Date: <br /> REVISED 10/11/2016 <br />