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PUBLIC WORKS �' <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/13/2018 <br />Permit M B1802-011 <br />PROJECT ADDRESS: 3000 ROCKEFELLER AVE ADMIN WEST <br />DESCRIPTION OF WORK: ADDN ONTO EXISTING SNOHO COUNTY COURTHOUSE <br />CONTACT INFORMATION: <br />OWNER: NAME: THUNBERG MARK <br />NAME: SNOHOMISH CO PROP MGMT ADDRESS: <br />ADDRESS: 3000 ROCKEFELLER AVE M/S 404 , <br />EVERETT, WA, 98201 PHONE: 4253883035 <br />PHONE: EMAIL: <br />EMAIL: MARK.THUNBERG@CO.SNOHOMISH.WA.US <br />APPLICANT: <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: [ContactName] <br />PHONE: [ContactPhone] <br />EMAIL: [ContactEmail] <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />PW Permit Required? YES ❑ NO <br />Notes: <br />LAND USE PROJECT #: <br />W.O. M <br />Associated Bldg./PW Permit M <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: 04�A. _ ;FA 99MQ u) <br />(Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br />DOMESTIC SERVICE. FIRE SERVICE. <br />❑ YES — Amount $ ❑ YES — Amount $ <br />❑ Meter Only, ❑ Complete Service, Size ❑ %" Detect Meter Only, ❑ Fire Service Size <br />)(NO )(NO <br />Explanation: AA tZl, <br />Explanation: <br />❑ RPBA Needed at premis ?-(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 />❑ YES — Amount $ <br />NO <br />xplanation: <br />Existing Utility Permit # (if applicable): <br />❑ YES — Amount $ <br />YNO — No Change of Use / Other. <br />Explanation: <br />❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ See Attached Spreadsheet <br />,(Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br />TRAFFIC MITIGATION FEE? <br />❑ YES — Amount $ ❑ 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 />❑ YES - TYPE ❑ See Attached Letter <br />Y(NO %) .. /1_ i <br />PW Reviewer: <br />REVISED 10/1112016 <br />Date: <br />