Laserfiche WebLink
�~�� i■► PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) <br />Date: 2/5/2018 <br />Permit #: C1802-004 <br />PROJECT ADDRESS: 3712 COLBY AVE <br />DESCRIPTION OF WORK: TOWNHOME UNIT B <br />CONTACT INFORMATION: <br />OWNER: APPLICANT: <br />NAME: CLM PROPERTY SOLUTIONS LLC NAME: <br />CLM PROPERTY SOLUTIONS LLC <br />ADDRESS: 14751 N KELSEY ST UNIT 105 183 ADDRESS: <br />14751 N KELSEY ST UNIT 105183 <br />MONROE, WA, 98272 <br />MONROE, WA, 98272 <br />PHONE: 4063903676 PHONE: <br />4063903676 <br />EMAIL: cxm820@gmail.com EMAIL: <br />cxm820@gmail.com <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: CLETE MESSERLY <br />PHONE: 4063903676 <br />EMAIL: cxm820@gmail.com <br />COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT #: A1111 <br />PW Permit Required? 1g YES ❑ NO W.O. #: N It <br />Notes: Associated Bldg./PW Permit #: 191L91$Q <br />FIRE SPRINKLER REQUIRED? (by Fire Deoartment/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 WateNSewer/System Development Fees) <br />WATER FEES? <br />DOMESTIC SERVICE: / FIRE SERVICE: <br />AYES - Amount $ jai 6 • II ❑ YES - Amount $ <br />❑ Meter Only, 19Complete Service, Size 3 ❑ %" Detect Meter Only, ❑ Fire Service Size <br />❑ NO V NO <br />Explanation: 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 Reviewer to send cost estimate request to Water Department, attach copy) <br />Existing Utility Permit # (if applicable): <br />SEWER FEE? <br />1KYES - Amount <br />❑ NO <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENT FEE? <br />1KYES - Amount $ <br />❑ NO - No Change of Use / Other, <br />New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ See Attached Spreadsheet <br />Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br />IKYES - Amount $ 240Vy" ❑ See Attached Spreadsheet <br />❑ NO NO QAZSD IT - <br />'ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from T�-�R,AK{{'T Print Menu and include) <br />BYES - TYPE "iaWN R01r1G 'See Attached Letter X d oh£� �S aiy af4'� 14 ¢o fW PO,I #- o fflla+ <br />❑ NO - - _11- . - . - . r_ InP A4.. L. <br />PW Reviewer: Date:j,,- 6--1 X -z�a <br />REVISED 1011112016 <br />