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PUBLIC WORKS <br /> lArr REVIEW WORKSHEET tit tet.....F c.,.. <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 0 170J - 0 <br /> tfg <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 ® 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 /> it,<-1.--RE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> OYES-Type i" A, 9-. 1 (If yes,add to TRAKiTjunder Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> D NO ( ,Z12 S-1-- '�2-_l ) c' /r °`ems{ '3 c. ' <br /> Explanation: /- . C - <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) c/A//9: c a`%= lf <br /> WATER FEES? ` (..nv's a.i5✓ z)e,2/774.k/I- <br /> -, e;',4-)'' f FIRE SERVICE Hca <br /> DOMESTIC SERVICE - ®, , <br /> YES-Amount$ 't ' tS 0 ii°3 ,,rr ' ,/ YES-Amount$ <br /> 0 Meter Only, Q' _•••- - - , -ize '/'( 0 3/"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO as ❑ NO <br /> Explanation: 6fAl 7' / `/14/ 0').1 ° 7 i 1 11 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? <br /> 3,YES-Amount$ 70d New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> NO <br /> xplanation: I C ovi H i.C41 wt 4w a t( ., c4,ti..`4 S (,c,rn Se..,✓ (A. t i 0 1-O 20 <br /> Existing Utility Permit#(if applicable): <br /> tAYSTEM DEVELOPMENT FEE? <br /> IfilYES-Amount$_4:9,42-3-4:A,-- ItSee Attached Spreadsheet 1... g 7, „j c <br /> ❑NO-No Change of Use/Other `s' " L>__, <br /> Explanation: <br /> ,(Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> t r` <br /> RYES-Amoun 0 See Attached Spreadsheet Cie(` r <br /> ❑NO ✓ efdo,-OIJ ( (f C <br /> /ADDRESS LEI'T UJRED? (If yes( ,CG(.ew assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 0 <br /> YES-TYPE 0 See Attached Letter <br /> C''NO Pil'E./5 /41-Wo <br /> PW Reviewer: ‘7 ._tx,si 1,7 "l r Date: 41/y lg.-- <br /> REVISED 10/11/2016 <br />