Laserfiche WebLink
4"7' • PUBLIC WORKS <br /> REVIEW WORKSHEET • <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/17/2017 <br /> Permit#: PW1702-031 <br /> PROJECT ADDRESS: 7702 RAINIER DRIVE <br /> DESCRIPTION OF WORK: 2 LOT SHORT PLAT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: DAVID BROSSARD&RODNEY YORK NAME: DAVID BROSSARD&RODNEY YORK <br /> ADDRESS: 2401 W MUKILTEO BLVD ADDRESS: 2401 W MUKILTEO BLVD <br /> EVERETT,WA, 98203 EVERETT,WA,98203 <br /> PHONE: 4257541973 PHONE: 4257541973 <br /> EMAIL: EMAIL: <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: RY McDUFFY <br /> PHONE: 4252584438 <br /> EMAIL: ry@orcalsi.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? ❑ YES ❑ NO W.O.#: <br /> Notes: Associated Bidg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> DYES—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 Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: mo FIRE SERVICE: <br /> [OYES—Amount$ 3� O/b �'1 / ❑YES—Amount$ <br /> El Meter Only, 0 Complete Service, Size , ❑'/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ❑ 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-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? ,,/ <br /> ❑YES—Amount$ 4-b eA e [pr New Connection, ❑Alteration/Repair, [tif Cuff/Reconnect <br /> NO <br /> E❑xplaanation: Cj <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <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 /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> %YES—TYPE •t-P__ 0 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: y �V Date: / /.7e�� <br /> REVISED 10/11/2016 /�f <br />