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41577 PUBLIC WORKS �� <br /> REVIEW WORKSHEET UJ`"i /44 <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/7/2017 <br /> Permit#: PW1702-005 <br /> PROJECT ADDRESS: 3313 OAKES AVE SE <br /> DESCRIPTION OF WORK: NEW DUPLEX AND INFILL DWELLING <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: RAINIER BUILDING CORPORATION NAME: DUGOVICH CHRIS <br /> ADDRESS: PO BOX 1947 ADDRESS: <br /> EVERETT,WA,98206 <br /> PHONE: PHONE: 4258644060 <br /> EMAIL: EMAIL: <br /> CONTACT: ❑ Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <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 /> lgYES—Type 1Y.P PA 9-9. 2s(If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 NO /�4/2- S-1" X24 ) (ilx,// `� iv.4 <br /> Explanation: r—i`Ph. <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) � A/'�' / zi A..);_zt- 4 G <br /> WATER FEES? ,, 7I,sys 2 v /?��r <br /> Oh° <br /> DOMESTIC SERVICE: 1 d / FIRE SERVICE: t(- ,4-7YA1 <br /> AYES—Amount$ 3) , { ri 0 YES—Amount$ <br /> 0 Meter Only, '4i'Complete Servi e,Size 74' ' 0 3/4'Detect Meter Only, 0 Fire Service Size <br /> ❑ NOii s� ❑ NO <br /> C, <br /> Explanation: 'A//7'- / ��9 V)I " 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 /> SEWER FEE? ----77 <br /> ❑YES—Amount$ -T0. ceNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT F E? <br /> DYES—Amount$ �a 2 g [ See Attached Spreadsheet <br /> ❑ NO—No Change of lige/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? 2-I <l c3 1S'7(----v <br /> )(YES—Amount$ - gao .�,.! 0 See Attached Spreadsheet `" a "S,`��/' <br /> 0N <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 /> [ 'NO 1,46),t <br /> PW Reviewer: J� ��(�a p Date: /�l (gyp Ia.-- <br /> R7a.1. <br /> EVISED 10/11/2016 <br />