5413 PARKVIEW LN 2018-02-26 - Laserfiche WebLink

L 477 PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/19/2016 Permit#: C1602-013 PROJECT ADDRESS: 5413 PARKVIEW LN DESCRIPTION OF WORK: SFR ADDITION, REMODEL, AFH CONTACT INFORMATION: OWNER: APPLICANT: NAME: MENGSTAB SELAMAWIT A NAME: [AppName] ADDRESS: 5413 PARKVIEW LN ADDRESS: [AppAdd] EVERETT, WA, 98203-3480 [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 NO W.O. #: Notes: /hs sHiaeZ 42"0/64-71' h %s 4)•611:I., �S �C c"'' Associated Bldg./PW Permit#: �S'cth,e LocQ7 C/1 as ex'f/'� �o�cr��e J'e-ab, �,f ::05i-',/"C �.S'he,vC.d be 17-7//7//mini Si c /hCyZ. .[;,'177,1(/, FIRE SPRINKLER REQUIRED? (by Fire Department/Code) ❑ YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) El NO Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEE? ❑YES—Amount$ ❑ Meter Only, ❑ Complete Service, Type/Size El NO Explanation: Existing Utility Permit# (if applicable): SEWER FEE? ❑ YES—Amount$ ❑ New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect KI NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? ? ❑ YES—Amount$ Cl See Attached Spreadsheet ❑ NO—No Change of Use/Other A,P)-1. +/7/.74. so Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑ YES—Amount$ ❑ See Attached Spreadsheet ❑ NO DOn4 4-6 hk S ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑ YES—TYPE 0 See Attached Letter ONO Public Works'Reviewer Signature _ Date REVISED 1/5/2016