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4err • PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/20/2017 <br /> Permit#: PW1703-039 <br /> PROJECT ADDRESS: 1115 E CASINO RD <br /> DESCRIPTION OF WORK: PW FOR NEW SFR DETACHED LOT 2 <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: ❑ 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? csrYES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/'703 d/ 4 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 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 ❑3/4" Detect Meter Only, 0 Fire Service Size <br /> ,I NO ,/ �j NO <br /> Explanation:L:014(2/A, ce�"'V/C� T/'7S laded S✓()ert Parr' 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-(If yes, PW 5Q9PW^ Reviewer to send cost estimate request to Water Department, attach copy) <br /> /Existing Utility Permit#(if applicable): LI !077 <br /> SEWER FEE? p <br /> ❑YES—Amount$ 70 .Kr New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> XYES—Amount$ 89 ' 0 See Attached Spreadsheet /63 4 <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—Amount$ 2'4 00 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ..t'ES—TYPE Si—'' .KiSee Attached Letter <br /> ❑ NO j2 <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />