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. PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/1/2016 <br />Cv� f S�'n� �c� Permit #: 61603-001 <br />PROJECT ADDRESS: 916 OAKES AVE P1 �v�i!<e �r���`-� '����' �'` ��< <�v <br />1'�. � <br />DESCRIPTION OF WORK: NEW 896 SQ FT PORTABLE CLASSROOM-WHITTIER ELEMENTARY 1 ��I / <br />���� � <br />CONTACT INFORMATION: � <br />OWNER: APPLICANT: <br />NAME: EVERETT SCHOOL DIST 2 NAME: DYKEMAN ARCHITECTS <br />ADDRESS: 4730 COLBY AVE ADDRESS: <br />EVERETT, WA, 98203 , , <br />PHONE: <br />EMAI L: <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: ZACH HALL <br />PHONE: 4252593161 <br />EMAIL: ZACHHCa�DYKEMENT.NET <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />PW Permit Required? � YES ,�NO <br />r�a,, <br />Notes: ` .._ r, . �,,�; .--.. _� <br />PHONE: �j�� L <br />EMAIL: �o�� ��r�G./X�S Dtri"��. <br />— �L''CteTU�� C>h �Z�iS7/n� ���li�a' <br />LAND USE PROJECT #: <br />W.O. #: <br />Associated Bldg./PW Permit #: <br />FIRE SPRINKLER REQUIRED? (bv Fire Department/Code <br />❑ YES –Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br />,$� N O <br />Explanation: <br />(Note: Counter Staff to Create Utility Permit for any Wafer/Sewer/System Development Fees) <br />WATER FEES? <br />DOMESTIC SERVICE: FIRE SERVICE: <br />❑ YES – Amount $ ❑ YES – Amount $ <br />❑ Meter Only, ❑ Complete Service, Size _ ❑'/<" Deduct Meter Only, <br />„Off N O ❑ N O <br />Explanation: Explanation: <br />❑ Fire Service Size <br />❑ Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, atfach copy) <br />Existing Utility Permit # (if applicable): <br />SEWER FEE? <br />❑ YES – Amount $ <br />�N O <br />xplanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENTFEE? <br />,� YES – Amount $ <br />❑ NO – No Change of Use / Other_ <br />Explanation: <br />❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ See Attached Spreadsheet ��o�. f�� r��r, S�cc,c��;h� <br />/ <br />x' �.4 sf� d�-h fs =�Z 5-/U �¢ <br />(Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br />TRAFFIC MITIGATION FEE? <br />�YES – Amount $ ?�C��.� ❑ See Attached Spreadsheet ' <br />❑ rvo S�� `��ik� .�r���: s, <br />Y'�`?:-n e� . e`n �i � L <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKi Print Menu and include) <br />❑ YES – TYPE ❑ See Attached Letter <br />j�,'N O <br />Public Works Reviewer <br />REVISED 2/24/207G <br />,,.�' _? -% �o <br />Date <br />