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PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) <br />PROJECT ADDRESS: 2514 RAINIER AVE <br />Date: 1111 /2017 <br />Permit M B1711-002 <br />DESCRIPTION OF WORK: NEW 2 STORY CLASSROOM BUILDING -NORTH MIDDLE SCHOOL <br />CONTACT INFORMATION: <br />OWNER: <br />APPLICANT: <br />NAME: EVERETT SCHOOL DIST 2 <br />NAME: GIFFORD MARK <br />ADDRESS: 4730 COLBY AVE <br />ADDRESS: <br />EVERETT, WA, 98203 <br />, <br />PHONE: <br />PHONE: 2064414522 <br />EMAIL: <br />EMAIL: MGIFFORD@NACARCHITECTURE.COM <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: GIFFORD MARK <br />PHONE: 2064414522 <br />EMAIL: MGIFFORD@NACARCHITECTURE.COM <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />LAND USE PROJECT M S m «-005? <br />PW Permit Required? t6ES ❑ NO <br />W.O. M <br />Notes: <br />Associated Bldg./PW Permit #: 601 "W <br />FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br />RYES —Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br />❑ NO <br />Explanation: <br />Note: Counter Staff to Create Utility Permit for an Water/Sewer/S stem D velo ment Fees) r < -F <br />( h' Y Y _ 60 �y _V l OVL Vim; �PXXK~ <br />WATER FEES? <br />h <br />ESTICSERVICEYfa" 1ffl6�&N C©MftRrF �L���'�' <br />SERVICE: -- '� C'p�4 <br />JS <br />— Amount $ WYES — Amount $ J�6O� f/ <br />ter Only ❑Complete Service, Size w' OA� �3/" Detect Meter Only, 9 Fire Service Size <br />❑N{��� ❑NO <br />Explanation: A7 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): ki <br />SEWER FEE? nn �1%►S 0 U' <br />11>✓Ci <br />O.YES — Amount $O.°9 X a Uf New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ NO <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENT FEE? <br />❑ YES — Amount $ ❑ See Attached Spreadsheet <br />XNO — No Change of��,,Use <br />"" / Other <br />Explanation: 9pli(�len In mox O=Aj & . Lnh L161 <br />(Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br />TRAFFIC MITIGATION FEE? <br />❑ YES — Amount$ ❑ See Attached <br />�Spreadsheet <br />'of NO REAal,tyj Jrtp&F_�/FQUC/�u/),*Cr(J��d,,ds4& <br />. <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />❑ YES — TYPE ❑ See Attached Letter <br />'(NO t - -,. A- � V2 <br />PW Reviewer: <br />REVISED 1011112016 <br />Date: <br />NAMA <br />