Laserfiche WebLink
• • <br /> 477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/25/2017 <br /> Permit#: B1709-037 <br /> PROJECT ADDRESS: 2201 100TH ST SW <br /> DESCRIPTION OF WORK: PRE-MFG STEEL BLDG WAREHOUSE ADDN TO EXISTING MFG FAC <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: AUREUS LLC NAME: FISHER CONSTRUCTION GROUP <br /> ADDRESS: 5014 RUCKER AVE ADDRESS: 625 FISHER LANE <br /> EVERETT,WA,98203 BURLINGTON,WA,98233 <br /> PHONE: PHONE: 3607575676 <br /> EMAIL: EMAIL: sjb@fishercgi.com <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: FISHER CONSTRUCTION GROUP <br /> PHONE: 3607575676 <br /> EMAIL: sjb@fishercgi.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? ❑ YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <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 /> E❑xplaanation: petit_ an-- ettrliv <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$ ❑YES—Amount$__ <br /> 0 Meter Only, 0 Complete Service, Size 0 3/" Detect Meter Only, 0 Fire Service Size <br /> '1N0 �9 DRJNO <br /> �� <br /> Explanation: V� f44,4013 <br /> Explanation: NI_ £41re <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> 'Water Department Cost Estimate Nee ed c/f yyes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): ' CClRl �%k,� milk Al � t <br /> SEWER FEE? <br /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> VNO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> *YES—Amount$ 86 4,81 . 'See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: Om tikaot. (,u bY\_ ) bo /t_ <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 /> ONO <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE 0 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Date: <br /> 1415//9- <br /> REVISED 10/11/2016 <br />