921 WALL ST 2017-03-08 - Laserfiche WebLink

47' PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/21/2016 Permit#: PW1606-036 PROJECT ADDRESS: 921 WALL ST DESCRIPTION OF WORK: NEW PAVING PAD ONSITE FOR INFILL DWELLING UNIT CONTACT INFORMATION: OWNER: APPLICANT: NAME: WILLIAMS APRIL NAME: [AppName] ADDRESS: 921 WALL ST ADDRESS: [AppAdd] EVERETT, WA, 98201-3933 [AppCi], [AppSt], [AppZip] PHONE: PHONE: [AppPhone] EMAIL: EMAIL: [AppEmail] CONTACT: ❑ Owner ❑ Applicant ❑Other NAME: WILLIAMS APRIL PHONE: 4253284938 EMAIL: ASILVERW@HOTMAIL.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?tiYES 0 NO ,,/� , W.O.#: Notes: Pw p€/Z4n �. l �� i35' a/ Ei t{ Associated Bldg./PW Permit#: 406-041- .276 Qy-of h/dg p 2 # iWS//. FIRE SPRINKLER REQUIRED? (by Fire'6epartment/Code) 0 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: 0 YES—Amount$ 0 YES—Amount$ 0 Meter Only, 0 Complete Service, Size 0 3/4" Detect Meter Only, 0 Fire Service Size 'NO tirNO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If 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, ❑Alteration/Repair, 0 Cap-off/Reconnect XN O 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 XNO 1 ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) • 0 YES—TYPE ❑ See Attached Letter ❑ NO 4/3-0/2-et( Public Works Reviewer Signature D REVISED 2/24/2016