6018 MANOR PL 2017-09-08 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 5/20/2016 Permit#: B1605-042 PROJECT ADDRESS: 6018 MANOR PL DESCRIPTION OF WORK: ADD NEW DETACHED SHOP BEHIND GARAGE CONTACT INFORMATION: OWNER: APPLICANT: NAME: HALFERTY FRANK&MELISSA NAME: HALFERTY FRANK&MELISSA ADDRESS: 6018 MANOR PL ADDRESS: 6018 MANOR PL EVERETT, WA, 98203 EVERETT,WA, 98203 PHONE: 2062346844 PHONE: 2062346844 EMAIL: FJH_MAH@PEAK.ORG EMAIL: FJH_MAH@PEAK.ORG CONTACT: ❑ Owner ❑ Applicant []Other NAME: HALFERTY FRANK&MELISSA PHONE: 2062346844 EMAIL: FJH MAH@PEAK.ORG COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? ❑ YES ❑ 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$ ❑YES—Amount$ ❑ Meter Only, ❑ Complete Service, Size ❑3/4" Detect Meter Only, ❑ Fire Service Size ❑ NO ❑ NO 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$ ❑ New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? ❑ YES—Amount$ ❑ 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$ ❑ See Attached Spreadsheet ❑ NO ADDRESS LETTER REQUIRED? (If yes(new assigned address), printout Address Letter from TRAKiT Print Menu and include) ❑YES—TYPE ❑ See Attached Letter ❑ NO Public Works Reviewer Signature Date REVISED 2/24/2016