1802 W MARINE VIEW DR 2019-06-04

, PUBLIC WORKS � REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/23/2016 Permit #: B1602-074 PROJECT ADDRESS: 1802 W MARINE VIEW DR DESCRIPTION OF WORK: REPLACEMENT OF ARCHITECTURAL WALL CONTACT INFORMATION: OWNER: APPLICANT: NAME: PUBLIC UTILITY DIST 1 SNO CO NAME: ADDRESS: 2320 CALIFORNIA ADDRESS: EVERETT, WA, 98201 PHONE: 4257834303 EMAIL: CONTACT: ❑ Owner ❑ Applicant ❑Other. NAME: [ContactName] PHONE: [ContactPhone] EMAIL: [ContactEmail] COMMENTS FROM PUBLIC WORKS REVIEWER: PW Permit Required? �YES ❑ NO Notes: �� ci� c: ;.;�= l k� �,�,� �.t�>h C%�� L 5 T �'�'� � � �� j ' � � � WILL BLANCHARD PHONE: 4257834303 EMAIL: WABLANCHARD@SNOPUD.COM LAND USE PROJECT W.O. #: Associated Bldg./PW Permit #: FIRE SPRINKLER REQUIRED? (by Fire Department/Code� ❑ YES —Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) �NO Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEE? ❑ YES — Amount $ ❑ Meter Only, O Complete Service, Type/Size � NO Explanation: Existing Utility Permit # (if applicable): _ SEWER FEE? ❑ YES — Amount $ ❑ New Gonnection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect �I N O Explanation: Existing Utility Permit # (if applicable): SYSTEM DEVELOPMENTFEE? � YES — Amount $ ❑ See Attached Spreadsheet $7 NO — No Change of Use / Other _ Explanation: (Note: Public Works Reviewer to Add Tra(fic Mitigation to PW Permit (if applicable)) TRAFFIC MITIGATION FEE? ❑ YES — Amount $ ❑ See Attached Spreadsheet � NO ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES — TYPE ❑ See Attached Letter � NO .s'' � � f �; Public Works Reviewer Sipnature REVISED 1/5/2016