Laserfiche WebLink
047TPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 11/1/2017 <br /> Permit#: PW1711-003 <br /> PROJECT ADDRESS: 3317 RUCKER AVE Units A & B C1712-002 <br /> DESCRIPTION OF WORK: SITE WORK DEMO HOUSE/REPLACE WITH 2 DUPLEXES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: 3317 RUCKER AVE LLC NAME: [AppName] <br /> ADDRESS: 16511 41ST PL W ADDRESS: [AppAdd] <br /> LYNNWOOD,WA,98037 [AppCi], [AppSt], [AppZip] <br /> PHONE: 2062883701 PHONE: [AppPhone] <br /> EMAIL: dr <br /> ADNAN.ALI985@GMAIL.COM EMAIL: [AppEmail] <br /> CONTACT: Lr 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? EKES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C-(112--007.. <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑ ES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> liil NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> ❑YES—Amount$ 0 YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size I.g 3/" Detect Meter Only, 0 Fire Service Size <br /> 1io Q ,� 1 v0 <br /> Explanation: I C%J e,< SUYI 3/4 vwY• Explanation: <br /> ❑ RPBA Needed at premise?-(Plum ng 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 /> a/ ErYES—Amount$ 70e 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> .SYSTEM DEVELOPMENT FEE? // <br /> @'SES-Amount$ ,4 3 ' I' ee Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other ,�(! i� l ,� <br /> Explanation: 1"4' .) pi/ptQ,k - GV'GAI . -Coif P�0j'�Y1 ' 1 . w:1( 2e Zit o�+0 g 1 (Z-W <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(inapplicable)) (33a 64-1>) <br /> a/TRAFFIC MITIGATION FEE? <br /> Ie'YES—Amount$ 4$00`°2 0 See Attached Spreadsheet (Cretilt 4.r ex 3k 14.•s W it It!/IU+riK'to <br /> 0N <br /> 417 'aoS <br /> ✓ ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> LIKES—TYPE 0 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Date: <br /> 3/t/rt, <br /> REVISED 10/11/2016 <br />