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4' PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/20/2018 <br /> Permit#: PW1802-021 <br /> PROJECT ADDRESS: 1601 FLORIDA DR <br /> DESCRIPTION OF WORK: SITE WORK FOR 5 LOT SHORTPLAT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: Bustard Custom Construction, Inc. NAME: Bustard Custom Construction, Inc. <br /> ADDRESS: P.O. Box 1243 ADDRESS: P.O. Box 1243 <br /> MARYSVILLE,WA, 98270 MARYSVILLE,WA,98270 <br /> PHONE: 4258766551 PHONE: 4258766551 <br /> EMAIL: amkhomes@gmail.com EMAIL: amkhomes@gmail.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: Bustard Custom Construction, Inc. <br /> PHONE: 4258766551 <br /> EMAIL: amkhomes@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 0 YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <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 /> 0N r 1) k / (6,41,2..„ <br /> Explanation: I1(`Jl Jiom , (,U/// Sp 1&(&/. Q TI/75 <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? j n <br /> DOMESTIC SERVICE�L�I'1 1 i FIRE SERVICE: <br /> DYES-Amount$ 55g.9- .Por I' mETFA)< 5 ❑YES-Amount$ <br /> ,, 'Meter Only, 0 Complete Service, Sizee/+ 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> Explanation: Alt - *At file' 6\4 mif plaation: <br /> RPBA Needed at e?-PI i��A❑ p ( umb ng permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> z )(Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if alicable): <br /> SEWER FEE? 120.4 tket) W/ o m 1T- <br /> '0 YES-Amount$ .51181X 5 iSI New Connection, 0 Alteration/Repair, Cap-o' Reconnect <br /> ENO <br /> Explanation: ( 1gq.d 0 _1l1„4� b'ln* <br /> Existing Utility Permit#(if applicable): ���JJJ <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES-Amount$ 0 See Attached Spreadsheet <br /> NO-No ChangeLof Use/Other ( (� � � ++ t /'�,,, f ,�` <br /> Explanation: Ch Q 4663 Ovani- 'Q)Y tack !'10111£, l(if t,Ql'� l0Y en& hone Wisp) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES-Amount$ . 0 See/Atttached pr dsheet l / 1 <br /> NO Chargedof bli puri T01'- each come • (CfEdi Ar l7?& (0iL/ <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Lettr from TRAKiT Print Menu and include) <br /> ❑YES-TYPE 0 See Attached Letter rfici permh) <br /> XN O <br /> PW Reviewer. 4...... Date: <br /> o c 6 ly a©1$ <br /> REVISED 10/11/2016 <br />