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4Err PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/19/2018 <br /> Permit#: PW1803-054 <br /> PROJECT ADDRESS: 3323 HOYT A&B AVE SE <br /> DESCRIPTION OF WORK: SITE WORK FOR 2 NEW DUPLEX'S <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALI ADNAN NAME: LEADING EDGE CONSTRUCTION LLC <br /> ADDRESS: 16511 41ST PL W ADDRESS: 1777 S BURLINGTON BLVD#513 <br /> LYNNWOOD,WA,98037 BURLINGTON,WA,98233 <br /> PHONE: PHONE: 4258700350 <br /> EMAIL: EMAIL: <br /> CONTACT: ❑ Owner 0 Applicant ❑Other <br /> NAME: BRAD RZECHULA <br /> PHONE: 4258700350 <br /> EMAIL: BRADRZECHULA@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 /> ❑YES-Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO <br /> xplanation: <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$ ❑YES-Amount$ <br /> 0 Meter Only, 0 Complete Service, Size 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> ANO i �( 0 NO <br /> Explanation: A`-n ` j : 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 /> S WER FEE? <br /> YES-Amount$ New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> $(YES-Amount$ l 3 I 7 I� IfSee Attached Spreadsheet <br /> ❑ NO-No Change of Use/Other <br /> Explanation: ►. " U/iPw✓ �c 3 e - 6 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> I'YES-Amount$ ( d 07 o 0 See Attached Spreadsheet <br /> ❑ NO (NOeLEDtt� <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> litYE❑ <br /> S <br /> -TYPE DX Nt See Attached Letter <br /> O <br /> PW Reviewer: I6S Date: <br /> REVISED 10/11/2016 <br />