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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/20/2016 <br /> .3727 Permit#: PW1607-037 <br /> PROJECT ADDRESS: - MCDOUGALL AVE <br /> DESCRIPTION OF WORK: PARTIAL APPROVAL FOR SITE WORK FOR NEW PREFAB METAL BLDG <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: MILLER WILLIAM CLAY JR NAME: HANNAM DOUG <br /> ADDRESS: 3717 MCDOUGALL AVE ADDRESS: <br /> EVERETT,WA, 98201-5065 <br /> PHONE: PHONE: 4253885588 <br /> EMAIL: EMAIL: DNHANNAM@FRONTIER.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: HANNAM DOUG <br /> PHONE: 4253885588 <br /> EMAIL: DNHANNAM@FRONTIER.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?X YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: 6©fo ^014-- <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> BYES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0N � i <br /> Explanation: W c+e r Perh �`1- cot- -P)r"e, c fter btt i ICI l�j perry,H- f.SSNQC <br /> (Note:Counter Staff to C -ate Utility '- i or. • . _ ewer/System Development Fees) <br /> WATER FEES? Ai, Walla rServic , c <br /> DOMESTIC SERVICE. r fer �✓ep COhn2Cf�o ti {g�f FIRE SERVICE: <br /> ❑YES—Amount$ 0 YES—Amount$ <br /> 0 Meter Only, 0 C.... - _- ice, Size_ 71a) be Co/ ec kd 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO Lado1' aPer. 0 NO <br /> Explanation: • Explanation: <br /> XWater Department Cost Estimate Needed-(/f yes, ' Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): _ ,tai done P/2/ter" perm 171 /SS'tt a nC2 <br /> SEWER FEE? ci <br /> , YES—Amount$ 70 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 3 6 <br /> X YES—Amount I T 8 78 --- )(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? oO <br /> )(YES—Amount$ 34o 4'8 )(See Attached-Sreadshset, // <br /> ❑ NO S€pa oc ,vne+t-I'" <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE CoI-,/ReS J'See Attached Letter <br /> ❑ NO <br /> Bs 7 -Zi - f'� <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />