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PUBLIC WORKS <br /> �� /6�1 -vz <br /> REVIEW WORKSHEET 4677 _77-e,,i�',G nit o/ilcY <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/1/2016 <br /> Permit#: B1603-004 <br /> PROJECT ADDRESS: 3700 FEDERAL AVE P3 �lJ�`� � <br /> DESCRIPTION OF WORK: NEW 896 SQ FT PORTABLE CLASSROOM-JACKSON ELEMENTARY <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: PHONE: <br /> EMAIL: EMAIL: / <br /> d c <br /> CONTACT: ❑ Owner 0 Applicant ❑Other L OC' e � t/JI <br /> NAME: ZACH HALL Pal///2y <br /> PHONE: 4252593161 �✓/ <br /> EMAIL: ZACHH@DYKEMENT.NET <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 2 YES gNO W.O.#: <br /> Notes: Tro ;c, hi/f 0h g y' 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 /> SOO <br /> Explanation: <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" Deduct Meter Only, 0 Fire Service Size <br /> la NO ❑ NO <br /> Explanation: Explanation: <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$ ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br /> ONO <br /> Explanation: <br /> Existing Utility Permit# (if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> $ YES—Amount$ 76%044- 0 See Attached Spreadsheet /(, 4; (p / c,.. ...C1 U Cie.-If <br /> ❑ NO—No Change of Use/Other <br /> Explanation: 2 4- s+c, i€h i, 2 S/o.64 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> R1 YES—Amount$ 2 c ( C? 0 See Attached Spreadsheet / t <br /> O NO <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 /> p,NO <br /> 3- 2-- /k <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />