1412 HOYT AVE 2022-02-16 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) PROJECT ADDRESS: 1412 HOYT AVE DESCRIPTION OF WORK: NEW GARAGE CONTACT INFORMATION: OWNER: NAME: GILMORE EDWARD J & D'ANNE T ADDRESS: 720 EDWARDS AVE EVERETT, WA, 98201-4644 PHONE: EMAIL: Date: 4/16/2018 Permit #: B1804-033 APPLICANT: NAME: HOLVERSTOTT BRETT ADDRESS: f f PHONE: 2062518947 EMAIL: BRETT@GLADUDESIGN.COM CONTACT: ❑ Owner ❑ Applicant ❑Other NAME: HOLVERSTOTT BRETT PHONE: 2062518947 EMAIL: BRETT@GLADUDESIGN.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT #: PW Permit Required? ❑ YES ❑ NOW.O. #: � � S Notes: isf_" Associated Bldg./PW Permit #: FIRE SPRINKLER REQUIRED? (by Fire Devartment/Code) ❑ YES —Type (if yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) kN O Explanation: (Note: Counter Staff to Create Utility Permit for any Water/SewedSystem Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑ YES — Amount $ ❑ YES — Amount $ ❑ Meter Only, ❑ Complete Service, Size ❑ %" Detect Meter Only, ❑ Fire Service Size NO NO Explanation: xplanation: �❑ RPBA Needed at premise? -(Plumbing permit for backflow device needed due to High -Hazard Site per Tim Markham's review) �❑ Water Department Cost Estimate Needed -(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit # (if applicable): SEWER FEE? ❑ YES — Amount $ ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect )<NO Explanation: Existing Utility Permit # (if applicable): SYSTEM DEVELOPMENT FEE? ❑ YES — Amount $ ❑ See Attached Spreadsheet ]'$ENO — No Change of Use / Other Explanation: (Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) TRAFFIC MITIGATION FEE? ❑ YES — Amount $ ❑ See Attached Spreadsheet )(NO ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE ❑ See Attached Letter XNO PW Reviewer: