Laserfiche WebLink
0 <br /> l <br /> i 04a77. PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/6/2017 <br /> Permit#: B1703-005 <br /> PROJECT ADDRESS: 8702 7TH AVE <br /> DESCRIPTION OF WORK: ADD(1) PORTABLE CLASSROOM-EMERSON ELEMENTARY <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: EVERETT SCHOOL DIST 2 NAME: LEE STEVE <br /> ADDRESS: 4730 COLBY AVE ADDRESS: <br /> EVERETT, WA, 98203 <br /> PHONE: PHONE: 2065873797 <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 /> / <br /> PW Permit Required? 0 YES �,NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br /> 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 'N O <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$ ❑ YES—Amount$ <br /> ❑ Meter Only, 0 Complete Service, Size 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> Et NO 4 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 /> ❑Water Department Cost Estimate Needed-(If 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$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 4 NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE?�,�i <br /> IeYES—Amount$ V-7-3 ,ii- 0 See Attached Spreadsheet <br /> NO—No Change of Use/Other �/ ,_ �7�J <br /> Explanation: Tf , k -11Qd in e0r/QI : all x II5 s6 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> )81 YES—Amount$ a600. 1-1- rQQ❑��See Attached Spreadsheet <br /> ❑ NO i' �t ' see at71etcLi¢C-/ <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 /> E(NO <br /> PW Reviewer .1.44A___ Date: 3/ <br /> l - <br /> D <br /> REVISED 10/11/2016 <br />