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PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) Date: 1/13/2017 <br />Permit #: PW1701-012 <br />PROJECT ADDRESS: 7505 SEAWAY BLVD <br />DESCRIPTION OF WORK: SITE WORK FOR NEW TRANSIT COMFORT STATION <br />CONTACT INFORMATION: <br />OWNER: <br />NAME: PUBLIC UTILITY DIST 1 SNO CO <br />ADDRESS: 2320 CALIFORNIA <br />EVERETT, WA, 98201 <br />PHONE: 4257834373 <br />EMAIL: <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: JASON WALKER, PERTEET <br />PHONE: 4253220251 <br />EMAIL: JASON.WALKER@PERTEET.COM <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />PW Permit Required? X YES ❑ NO <br />Notes: <br />APPLICANT: <br />NAME: <br />DAN JEROME, COMMUNITY TRANSIT <br />ADDRESS: <br />7100 HARDESON RD <br />EVERETT, WA, 98203 <br />PHONE: <br />4253482312 <br />EMAIL: <br />DAN.JEROME@COMMTRANS.ORG <br />LAND USE PROJECT #: <br />W.O. #: <br />Associated Bldg./PW Permit ME % 10 J�61 I <br />C©boa <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 />P(NO <br />Explanation: <br />(Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br />WATER FEES? ii do <br />DOMESTIC SERVICE: Z �r�^ ' 9�oZ' FIRE SERVICE: <br />)<YES — Amount $ 2' DeM f f'92 ❑ YES — Amount $ <br />❑ Meter Only, ❑ Complete Service, Size ❑ %" Detect Meter Only, ❑ Fire Service Size <br />❑ NO ANO <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 -(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br />Existing Utility Permit # (if applicable): _ <br />SEWER FEE? Da <br />,AYES — Amount $ �!� � New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ NO <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENT FEE? ao ��G { Cphh�cfio�i <br />BYES — Amount $ 70 _?8 ''✓/ ❑ See Attached Spreadsheet <br />❑ NO — 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 />❑ YES — Amount $ ❑ See Attached Spreadsheet <br />X NO <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />YES — TYPE ❑ See Attached Letter <br />❑ NO <br />PW Reviewer: A-Z' 61 � C. � <br />Date: 5 - f la — % 7 <br />REVISED 1011112016 <br />