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477. PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/30/2016 <br /> Permit#: PW1608-070 <br /> PROJECT ADDRESS: 505 WOOD PL <br /> DESCRIPTION OF WORK: NEW COMMERCIAL BLDG <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: OLYMPIC PARK LLC NAME: SKOTDAL ART/GARY OLEARY <br /> ADDRESS: 2707 COLBY AVE#1200 ADDRESS: PO BOX 5267 <br /> EVERETT,WA, 98201 EVERETT,WA, 98206 <br /> PHONE: PHONE: 4252525400 <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?,YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) e95A Sieve ln/LLer- Or. 74re <br /> ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 N <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 /> 0 Meter Only, 0 Complete Service, Size 0 3/" Detect Meter Only, 0 Fire Service Size <br /> XNO ❑ NO <br /> Explanation: C©17,)eCfTb eX/S'//�lq (44 "Serl/iC2�Explanati p:knahead <br /> pL4��`v P�m�1 <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? 00 <br /> Xi YES—Amount$ 3O 0 New Connection, Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 835 43 <br /> )(YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: O PFt t, ( Is 6,A )C /8354) = 42873 Cp/� .4-' ke vii tAi 1.01 Pau L <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? bo <br /> ❑YES—Amount$ 0 0 See Attached Spreadsheet <br /> ❑ NO .See hi;ke aria e ma;L. <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 /> xyNO <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />