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4EIT PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/1/2016 <br /> Permit#: PW1612-004 <br /> PROJECT ADDRESS: 3326 PAINE AVE <br /> DESCRIPTION OF WORK: DRAINAGE MITIGATION FOR A 3600SF ADDITION <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: GLACIER PROPERTIES LLC NAME: WALKER MILES <br /> ADDRESS: 6333 KIEL COURT SE ADDRESS: <br /> OLYMPIA, WA, 98503 <br /> PHONE: PHONE: 4252590868 <br /> EMAIL: EMAIL: MILES@BNHARCH.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 Re uired?)k YES ❑ NO W.O.#: <br /> Notes: Bu.�f(�� fS (� c n n IV aAssociated Bldg./PW Permit#: 8/109—eso <br /> f • <br /> FIRE SPRINKLER R QUIRED?(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: Q � F1- ki i./fra� �z2/ I. <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 /> 12(NO XNO <br /> Explanation: VA-MI, Explanation: ' <br /> ❑ RPBA Needed at premise?-(Plum ng permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑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 /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> O <br /> Explanation: Uk€, c' a� <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 'YES—Amount$ 3�3 J,9 2 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: 300sic o' 40.Q 9Q <br /> 22/sF <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> $YES—Amount$ -j$$$, a 0 See Attached Spreadsheet <br /> ❑ NO( 10 80//000sF K ooss') uwychtars,r*. <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Acdress Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE 0 See Attached Letter <br /> aNO <br /> PW Reviewer: Date: <br /> 1�,��/ha 3Wkk 12-1- 20M <br /> REVISED 10/11/2016 <br />