Laserfiche WebLink
PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/27/2017 <br /> Permit#: PW1706-049 <br /> PROJECT ADDRESS: 1632 46TH ST SE <br /> DESCRIPTION OF WORK: NEW SFR DETACHED <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: RETTENMEIER JOHN NAME: HANSEN MIKE <br /> ADDRESS: 1630 46TH ST SE ADDRESS: <br /> EVERETT,WA,98201 <br /> PHONE: PHONE: <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: HANSEN MIKE <br /> PHONE: <br /> EMAIL: <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?,, J YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: G /7.02 - ©c - <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> DYES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: °(a./ .49e- pi'Zrzu)tf"..Q, T <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> ja YES—Amount$ 2, ,100 ,c // 0 YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size / 0 W Detect Meter Only, 0 Fire Service Size <br /> ❑ NO 0 N <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-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): 2 2 %7,444. <br /> / a 7U 47-°0e-S -79a_ <br /> zo ry,�r► c i <br /> SEWER FEE? <' '' ea_ u/d'J�2 Q''ca 4. Gp eGA rk <br /> EYES—Amount$ - ,,New Connection, ❑Aeration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> / SYSTEM DEVELOPMENT FEE? <br /> N/ <br /> )(YES—Amount$ , r7'6 -� 0 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 /> 0NqYES <br /> —Amount$ e(00 ❑ See Attached Spreadsheet /• 'ek . 9�/ZC C/ <br /> V ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> AYES—TYPE ,See Attached Letter <br /> NO <br /> PW Reviewer: 1i /Ce /..,IDate: ,„,/ <br /> /-2,9 <br /> REVISED 10/11/2016 <br />