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.� , PUBLIC WORKS �� <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/1/2016 <br />Permit #: B1603-002 <br />PROJECT ADDRESS: 916 OAKES AVE P2 fI 'I ,,� <br />`�� llX-�� <br />DESCRIPTION OF WORK: NEW 896 SQ FT PORTABLE CLASSROOM-WHITTIER ELEMENTARY n <br />CONTACT INFORMATION: � �� ��J <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 />EMAIL: <br />CONTACT: ❑ Owner ❑ Applicant ❑Other. <br />NAME: ZACH HALL <br />PHONE: 4252593161 <br />EMAIL: ZACHH(cilDYKEMENT.NET <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />PW Permit Required? A YES � NO <br />Notes: �� __. � �, <br />. .. �4�.. . � P � . <br />PHONE: <br />EMAI L: <br />LAND USE PROJECT #: <br />pl�� / fv� :-3 - C�/c3 <br />Trc�'.4 FT � c oN[.�, <br />W.O. #: <br />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: <br />(Note: Counter Staff to Create Utility Permit for any Water/Sewer/Sysfem Development Fees) <br />WATER FEES? <br />DOMESTIC SERVICE: FIRE SERVICE: <br />❑ YES — Amount $ ❑ YES — Amount $ <br />❑ Meter Only, ❑ Complete Service, Size ❑ 3/4" Deduct Meter Only, <br />,i�1�N0 ❑ NO <br />Explanation: Explanation: <br />❑ Fire Service Size <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 $ <br />,� N O <br />Explanation: <br />Existing Utility Permit # (if applicable): <br />SYSTEM DEVELOPMENT FEE? <br />,�''YES — Amount $ <br />❑ NO — No Change of Use / Other_ <br />Explanation: <br />❑ New Connection, ❑ Alteratinn/Repair, ❑ Cap-off/Reconnect <br />❑ See Attached Spreadsheet ��j �� �: �,� _ L �4 ��, <br />Dc'r' J � ti ' <br />x�2¢ =�z5�l�a. �� <br />(Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br />TRAFFIC MITIGATION FEE? �, e. <br />�ZI YES — Amount $ � 4� E`�" � ❑ See Attached Spreadsheet <br />❑ NO .S�" � �'rll � �/'ic �S �� I'�')u > � <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br />❑ YES — TYPE ❑ See Attached Letter <br />❑ NO <br />Public Works Reviewer Signature Date <br />