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4ffir PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/15/2017 <br /> Permit#: PW1712-029 <br /> PROJECT ADDRESS: 7000 HARDESON RD <br /> DESCRIPTION OF WORK: REPLACE PARKING LOT, DRAINAGE UPGRADES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: SNOHOMISH COUNTY PTBA NAME: LARRY DAUBENMIRE <br /> ADDRESS: 1133 164TH ST SW#200 ADDRESS: <br /> LYNNWOOD, ,98037 <br /> PHONE: 4253487100 PHONE: 4253487100 <br /> EMAIL: EMAIL: larry.daubenmire@commtrans.org <br /> CONTACT: ❑ Owner jp.Applicant ❑Other <br /> NAME: LARRY DAUBENMIRE <br /> PHONE: 4253487100 <br /> EMAIL: larry.daubenmire@commtrans.org <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? fig YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <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 /> jaNO <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 ❑'/" Detect Meter Only, 0 Fire Service Size <br /> AINO EL 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-(If 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 /> IEL NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> Cit.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$ 0 See Attached Spreadsheet <br /> l .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 /> IK,NO <br /> PW Re ASP.- er: Date: <br /> 34 Vie) <br /> REVISED 10/11/2016 <br />