Laserfiche WebLink
46-77 PUBLIC WORKS S <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/20/2017 <br /> Permit#: PW1703-038 <br /> PROJECT ADDRESS: 1113 E CASINO RD <br /> DESCRIPTION OF WORK: PW FOR NEW SFR DETACHED LOT 3 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: G2 CONTRACTING LLC NAME: RAD DESIGN <br /> ADDRESS: 3405 172ND ST NE BLDG 5 ADDRESS: <br /> ARLINGTON,WA, 98223 <br /> PHONE: PHONE: 4252522789 <br /> EMAIL: EMAIL: RAD.DESIGN@HOTMAIL.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: WICKHAM ROD <br /> PHONE: 4252522789 <br /> EMAIL: RAD.DESIGN@HOTMAIL.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? ❑ YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:t //D3 -of! <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 /> 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 0%" Detect Meter Only, ❑ Fire Service Size <br /> :ENO i„/ , NO <br /> Explanation: (10/72zi�'".Se 'v/Le nisi I s S4o -P6fL Explanatiori` <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? V <br /> %YES—Amount$ 7D 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): t7 /v Z' <br /> SYSTEM DEVELOPMENT FEE? <br /> %YES—Amount$ /O, 947 0 See Attached Spreadsheet p J <br /> ❑ NO—No Change of Use/Other02 <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> %YES—Amount$ 2400 0 See Attached Spreadsheet <br /> ❑ NO 2x• Q 'lA f L -(t—pem 144 Ike fi i -k <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE S Fie X See Attached Letter <br /> ❑ NO <br /> 25"-/ 7 <br /> PW Reviewer: Date: <br /> kg <br /> REVISED 10/11/2016 <br />