Laserfiche WebLink
47 <br /> 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 C&D 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?1i YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: g,tid5"'"0201 <br /> FIRE SPRINKLER REQUIR D?(by Fire Department/Code) <br /> IE(YES—Type tgs (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Pe it for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> ?D MESTIC SERVICE: FIRE SERVICE: <br /> YES—Amount$ 3) 01b �� ❑YES—Amount$ <br /> 0 Meter Only, IirComplete Service, Size f 0 3/4'Detect Meter Only, 0 Fire Service Size <br /> ❑ NO KNO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plum.ing 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$ Tv ,'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> YES—Amount$ 1 , 'See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other / <br /> Explanation: OaA/� �•V Qvt ( i- <br /> (Note: <br /> o <br /> Public Works Reviewer to Add raffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ki YES—Amount$ 2)fp() 0 See Attached Spreadsheet <br /> ❑ NO 141°0 rr ,(2146 <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> WYES—TYPE wome 1S'See Attached Letter k-e2.,, <br /> ❑ NO <br /> PW Reviewer: Date: IsCi I 1 <br /> faS <br /> REVISED 10/11/2016 <br />