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01ErrPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/8/2017 <br /> Permit#: C1712-007 <br /> PROJECT ADDRESS: 7109 RAINIER DR G & H <br /> DESCRIPTION OF WORK: NEW DUPLEX-BUILDING(4)G&H -REYKDAL CONDOS <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: REYKDAL GORDON P NAME: REYKDAL GORDON P <br /> ADDRESS: 8908 EASTVIEW AVE ADDRESS: 8908 EASTVIEW AVE <br /> EVERETT,WA, 98208 EVERETT,WA,98208 <br /> PHONE: 4253372429 PHONE: 4253372429 <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: ALBERT SHAWN <br /> PHONE: 6155541625 <br /> EMAIL: LandLiaison@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? YES 0 NO W.O.#: r� <br /> Notes: Associated Bldg./PW Permit#: TG(Jlaa �3� <br /> FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br /> 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> Explanation: 'W DNomeds •)-F__Frestu Ada- <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: Arinn art FIRE SERVICE: <br /> 'YES—Amount$O, X o� �U rt ❑YES—Amount$ <br /> ArMeter Only, 0 Complete Service, Size /Iu'd 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> ONO <br /> ��ii 'NO <br /> Explanation: (i�� Pf Ih- UnI G �/)tT N Explanation: <br /> hititRPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> la Water Department Cost Estimate Needed-(/f yes, PW Reviewer ton send cost estimate request to Water Department, attach copy) <br /> 14 frAl <br /> Existing Utility Permit#(if applicable): `�0 <br /> SEWER FEE? n �vAlf� <br /> EYES—Amount$?Ij X oC '(ifl1 /1 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> xpla <br /> Explanation: Witt) eR erA41i*f ' &# 61 Lief <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 'ES—Amount$ /9 qq$. - 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other ff ��,t�,, <br /> Explanation: N ,i ��U;t }(.,—flop �% c t a'4 G p Tp £oil? 4-18-1 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> AYES—Amount$ 411800.411800.412° ❑6:errjektaFe WltyLearheW oilys #1 49.1 <br /> NO NE,410 DuptrAca utw <br /> ADDRESS LETT R RE UIRED? (If yes (new assigned address), print out Addres L t2r�fro RAKiT Print Menu and include) <br /> AYES—TYPE NCSee Attached Letter✓St etit'to J II <br /> 0 NO —471441 Uri frAred- ediftki Pe4/1/fit ' <br /> PW Reviewer: Date: <br /> Ctgee <br /> REVISED 10/11/2016 <br />