Laserfiche WebLink
4"17 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/9/2016 <br /> Permit#: BW1602-001 <br /> PROJECT ADDRESS: 2301 COLBY AVE <br /> DESCRIPTION OF WORK: CONVERT OFFICES TO 2 DWELLING UNITS&ADD FIFTH <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: MITRACHKOV STOYAN NAME: [AppName] <br /> ADDRESS: 2301 COLBY AVE#5 ADDRESS: [AppAdd] <br /> EVERETT,WA,98201 [AppCI], [AppSt], [AppZip] <br /> PHONE: 7606374915 PHONE: [AppPhone] <br /> EMAIL: STOMIT3@YAHOO.COM EMAIL: [AppEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: MITRACHKOV STOYAN <br /> PHONE: 7606374915 <br /> EMAIL: STOMIT3@YAHOO.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 0 YES NO W.O.#: j <br /> Notes: Associated Bldg./PW Permit#: B K/ 160 •-QOI <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 /> ❑ NO See k Peel-n f <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 1a ,. <br /> 1.157.79 . eXf S'1/Fi( FIRE SERVICE: 2 Ccs rr 1"ac 71OV' <br /> ❑YES—Amount$ doh", 1- uf¢r )(YES—Amount$ )3')5+01.67S CovipUi-k Se,' V(ce <br /> 0 Meter Only, 0 Complete Service, Size 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> ANO ❑ NO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> >f(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): ESfl erode dobe by Tim Spon he r <br /> SEWER FEE? �pr {'1)Q1 CobineG7treil CZ `) <br /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> *r NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? J <br /> CI YES—Amount$ 0 See Attached Spreadsheet C)1�di 11r VaYicnt.S <br /> `'NO—No Change of Use/Other USC-S" O CL/AS.` <br /> � <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? �l <br /> YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYPE 0 See Attached Letter <br /> XrN O <br /> PW Reviewer: Date: <br /> REVISED 10/11/2016 <br />