Laserfiche WebLink
• • <br /> PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/11/2017 <br /> Permit#: PW1712-020 <br /> PROJECT ADDRESS: 3315 BROADWAY <br /> DESCRIPTION OF WORK: SITE WORK,STORM DRAINAGE FOR NEW BLDG <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: HOPEWORKS SOCIAL ENTERPRISES NAME: DOUG HOFIUS DYKEMAN ARCHITECTS <br /> ADDRESS: 5830 EVERGREEN WAY ADDRESS: 1716 W MARINE VIEW DR <br /> EVERETT,WA,98203 EVERETT,WA,98201 <br /> PHONE: PHONE: 4252593161 <br /> EMAIL: ��,/� EMAIL: dough®dykeman.net <br /> CONTACT: ❑ Owner LK Applicant ❑Other <br /> NAME: DOUG HOFIUS DYKEMAN ARCHITECTS <br /> PHONE: 4252593161 <br /> EMAIL: dough@dykeman.net <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? EYES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: B fl17. ' 0(9 <br /> FIR SPRINKLER REQUIRED?(by Fire D 2�, <br /> Iw/ES—Type ('=)IZ /C'II JL�' /�lritL �Mbe-/7 c_$ I1�:nBldgPermitandStampDrawings) <br /> 0 NO /vlA e7Sr 55-02"' ` 1415 <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permi. ei O1 rr inapt 5 _ ?sir( <br /> /r <br /> WATER FEES? l� I �aC�IXa/o f <br /> DO ESTICSERVICE: --sj0/!f ��tt Ga <br /> aratik <br /> �ES—Amount$ (2) C�azt S m� ""'" ' J Gr`af� e-014M\ <br /> 0 Meter Only, 0 Complete Service, S (1) �I / 0 -rn Oned -QY1/,y) ily, 0 Fire Service Size <br /> O NO <br /> Explanation: 40044, <br /> 4 _ O' / P�mt <br /> ❑ RPBA Needed at premise?-(Plumbing CU1�1" 1 Site per Tim Markham's review) <br /> ❑Water Department Cost Estimate Nee �I J �1R.�)Gd ATIoN ONC Y) JI1 tom.o-l.T�°,st to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): \ I DC VA L BSCkE/au]) <br /> SEWE❑ES—Amount$FEE? <br /> CI 1 6/l SEfV1tEa3/y11 m <br /> (Reconnect <br /> 0 NO L <br /> Explanation: 7 �DA �� ) '� e <br /> On Plumbing PErmif <br /> Existing Utility Permit#(if applicable): �/ n L�nJ/ /�y"�/� <br /> SYSTEM DEVELOPMENT FEE? () ter m- Back" /�UU,,,,,, las1 & hQq <br /> ❑YES—Amount$ Qll lfU/116/i/ec�1/�U,f�:, ,, <br /> 0 NO—No Change of Use/Other '�o r Pomt3 c�EIW C • <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Trai <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ <br /> 0 NO <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> El YES—TYPE 0 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Date: <br /> REVISED 1 0/1 12 0 1 6 <br />