7431 MCDOUGALL AVE 2017-03-09 - Laserfiche WebLink

47.7. PUBLIC WORKS REVIEW WORKSHEET p/7/ /&03 (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 Permit#: B1602-078 PROJECT ADDRESS: 7431 MCDOUGALL AVE DESCRIPTION OF WORK: NEW CARPORT CONTACT INFORMATION: OWNER: APPLICANT: NAME: STARKOVICH G STEPHEN JR NAME: [AppName] ADDRESS: 420 VERALENE WAY S W ADDRESS: [AppAdd] EVERETT,WA, 98203 [AppCi], [AppSt], [AppZip] PHONE: PHONE: [AppPhone] EMAIL: EMAIL: [AppEmail] CONTACT: 0 Owner 0 Applicant ❑Other NAME: [ContactName] PHONE: [ContactPhone] EMAIL: [ContactEmail] COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? 0 YES 0 NO W.O.#: Notes: 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 FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑ YES—Amount$ 0 YES—Amount$ ❑ Meter Only, 0 Complete Service, Size 0 3/4" Deduct Meter Only, 0 Fire Service Size ❑ NO ❑ NO Explanation: Explanation: ❑ Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? ❑ YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? ❑ YES—Amount$ 0 See Attached Spreadsheet ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑ YES—Amount$ 0 See Attached Spreadsheet ❑ NO ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES—TYPE 0 See Attached Letter ❑ NO REVISED 2/24/2016