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4terr PUBLIC WORKS <br /> REVIEW WORKSHEET • <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/5/2018 <br /> Permit#: C1806-002 <br /> PROJECT ADDRESS: 3002 16TH ST <br /> DESCRIPTION OF WORK: NEW 20 X 24 GARAGE WITH ADU UPSTAIRS <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: MURRAY TERRENCE NAME: WOLFHILL GREG <br /> ADDRESS: 3002 16TH ST ADDRESS: <br /> EVERETT,WA, 98201-2118 , , <br /> PHONE: PHONE: 2067929767 <br /> EMAIL: EMAIL: WOLF.DESIGN@LIVE.COM <br /> CONTACT: 0 Owner ❑ Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? ❑ YES 0,NO W.O. #: <br /> Notes: ?co( 00� dp n�' m ki eAi\ Associated Bldg./PW Permit#: <br /> . (\-s` Cc\ &Art/lull&o fO 1 4 fn�-- N o pW tunif. <br /> FIRE SPRINKLER REUI ED?(by Fire Department/Code) <br /> ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ExNO <br /> Explanation: �� ft'pE <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 3/4" Detect Meter Only, 0 Fire Service Size <br /> ExNO 1N0 <br /> Explanation:? t'V) P 8stTh pi/emir Fryk SraCt/'1C' ataer - ps_ A 'lti Q *1/4'" <br /> �� <br /> N�F�❑ RPBA Needed at premise?-(Plumbing permit for tiSa ckflowro di1�evicev <br /> needed due to High-Hazard Site per Tim Markham's review) <br /> 00 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 /> EYES—Amount$ 0 New Connection, _ Alteratio Repair, ❑ Cap-off/Reconnect <br /> D NO <br /> Explanation: /tLlL4 FP) s4'.(.(J';~i>' <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENTFE <br /> RYES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other Explanation: AI4Ma) /IO aG U l: I. % 4??0) — &4J 4': cf/K-7/ t2112 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑ YES—Amount$ 0 See Attached Spreadsheet <br /> XN O <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Addres Letter from TRAKiT Prin Menu and include)) <br /> AYES—TYPE �f)(� `� 1 See Attached Letter�,2,�/1 one 'k anafiietoff 7c✓e/, df'G�/I4I?9 �` <br /> ❑ NO 3U0 lL4 ST) v,if 8 NSCIL/I 0'f�t 0. v� -{u i 1/td <br /> PW Reviewer: Date: / <br /> /ZIO/g <br /> REVISED 10/11/2016 <br />