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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/30/2016 <br /> Permit#: B1606-075 <br /> PROJECT ADDRESS: 1804 HEWITT AVE <br /> DESCRIPTION OF WORK: FIRE AND LIFE SAFETY PLUS NEW UNIT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: NEW HEWITT/HODGES ASSOC LLC NAME: IMPRESSION DESIGN <br /> ADDRESS: PO BOX 22286 ADDRESS: 2418 CALIFORNIA ST <br /> SEATTLE,WA, 98122 EVERETT,WA, 98201 <br /> PHONE: PHONE: 4252529200 <br /> EMAIL: EMAIL: <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: ENGELSON DOUG <br /> PHONE: 4252529200 <br /> EMAIL: IMPRESSIONDESIGN@HOTMAIL.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 /> Explanation: ,S1/2- 2 J F/Tif7L <br /> (Note:Counter Staff to Create Utility'ermit 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 003/4'Detect Meter Only, 0 Fire Service Size <br /> )S <br /> NO <br /> Explanation: Explanation: <br /> XNeeded at premise?-(Plumbin permit f r b ck�Iow device needed due to 'igh-Hazard Site per T'm Markha s r v w) <br /> peVA '1. sc, PLb A/ 1'f ur�i .9torV V �fF 61��—s � ieLma!/, <br /> ❑water Department Cost Estimate eeded-(/f yes, PW eviewer to send cost a imate reques Wate Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 12tNO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> EYES—Amount$ �i1 I i 6. '= Si See Attached Spreadsheet <br /> NO—No Change of Use/Other <br /> n'y mar-- ,ray <br /> Explanation: � uulf/. <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 /> ENO <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 /> Z28201.7._ <br /> REVISED 10/11/2016 <br />