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477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/21/2017 <br /> Permit#: PW1708-039 <br /> PROJECT ADDRESS: 3501 UPLAND AVE <br /> DESCRIPTION OF WORK: NEW SFR-DETACHED/SITE DEVELOPMENT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: GORDON HOMES LLC NAME: GORDON HOMES LLC <br /> ADDRESS: 9420 31ST AVE SE ADDRESS: 9420 31ST AVE SE <br /> EVERETT,WA,98208 EVERETT,WA, 98208 <br /> PHONE: 4258761130 PHONE: 4258761130 <br /> EMAIL: EMAIL: <br /> • <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: cC /7131-— O 3 <br /> PW Permit Required? DYES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES–Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> I$'NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> ❑YES–Amount$ IY' CI YES–Amount$ <br /> 0 Meter Only, 0 Complete Service, Size t,w ,�31L 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> I NO .2 It )C� IA <br /> Explanation: � A,CTLea p J fiv+6'far.�a�9 04.-'01- Explanation: D ?-GR., '-u2, , <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 /> YES–Amount$ [[��L New Connection,�io,04-44,14-Sea' .0 Capoff/Reconnect <br /> xp aOnation�c t(.fnc C(vG©�'�37 �`b 7��"`�$cdif►- ' <br /> •moi <br /> Existing Utility Permit#(if applicable): ,i • <br /> SYSTEM DEVELOPMENT FEE? <br /> DYES–Amount$ (Of 44 7— ❑ See Attached Spreadsheet S'F' 2,q/f <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 /> YES <br /> –Amount$ X 0 See Attached Spreadsheet ?.04.1.,•6 <br /> �`•6 401'4_ S "dr/1-71-- <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> DYES–TYPE `'S , •Ip_• 0 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: c ` Date: <br /> REVISED 10/11/2016 <br />