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477- • PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/29/2016 <br /> Permit#: PW1607-057 <br /> PROJECT ADDRESS: 3600 SMITH AVE <br /> DESCRIPTION OF WORK: SITE WORK TO SUPPORT DEMO OF BUILDINGS <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: SSLM PROPERTIES LLC NAME: SSLM PROPERTIES LLC <br /> ADDRESS: 3600 SMITH AVE ADDRESS: 3600 SMITH AVE <br /> EVERETT,WA, 98201 EVERETT,WA, 98201 <br /> PHONE: 5033301781 PHONE: 5033301781 <br /> EMAIL: LEE@SMITHSTREETSAWMILL.COM EMAIL: LEE@SMITHSTREETSAWMILL.COM <br /> CONTACT: 0 Owner KApplicant ❑Other <br /> NAME: KEARNEY LEE <br /> PHONE: 5033301781 <br /> EMAIL: LEE@SMITHSTREETSAWMILL.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SEpiq -017 <br /> PW Permit Required? EYES 0 NO W.O.#: N/P- <br /> Notes: Link Pt'J)60�t7�-}-C 5 ( <br /> - 1-o (Li) ]�g_ma Fc 2m1 Associated Bldg./PW Permit#: <br /> and 6) U'f1111 y Ffi1 Ml{ 'fOr Si2�t SEW Fr- Jar--d6c <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 /> )2(NO <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 /> ❑ Meter Only, El Complete Service, Size _ ❑ 3/4" Detect Meter Only, ❑ Fire Service Size_ <br /> NO gNO <br /> Explanation: Explanation: <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$ /0A°' 0 New Connection, 0 Alteration/Repair, :i Cap-off/"econnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES—Amount$ ❑ See Attached Spreadsheet <br /> NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑ YES—Amount$ 0 See Attached Spreadsheet <br /> Nr NO <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 /> xrNO <br /> L r -7A(//Zo%d <br /> Pu lic Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />