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4"7 PUBLIC WORKS S <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/20/2017 <br /> Permit#: PW1703-037 <br /> PROJECT ADDRESS: 1117 E CASINO RD <br /> DESCRIPTION OF WORK: NEW SFR DETACHED LOT 1 f ao<Co� — 6 // i,005 <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: <br /> EMAIL: EMAIL: RAD.DESIGN@HOTMAILCOM <br /> CONTACT: ❑ Owner ❑ Applicant Dottier <br /> NAME: WICKHAM ROD <br /> PHONE: <br /> EMAIL: RAD.DESIGN@HOTMAIL.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?OYES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C / 7 03 <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 /> A'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 3/" Detect Meter Only, ❑ Fire Service Size <br /> ENO . ��`_ r�. ;fix <br /> Explanation: C1�mp�2�c'.�/°'�/fC-e ��iS'fu��c !��' � 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): <br /> SEWER FEE? 00 <br /> OYES—Amount$ 7®-� XNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): ti 1506 "d 7,9 <br /> SYSTEM DEVELOPMENT FEE? <br /> AYES—Amount$ 87% ❑ See Attached Spreadsheet ! 72613 <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 /> EYES—Amount$ 2400 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 /> I YES—TYPE S PrSee Attached Letter <br /> ❑ NO s� <br /> G5-i/ 7. <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />