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4ETT PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 11/16/2016 <br /> Permit#: PW1611-027 <br /> PROJECT ADDRESS: 2009 MUKILTEO BLVD <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW SFR <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ROBINETT LAND COMPANY LLC NAME: [AppName] <br /> ADDRESS: 3601 COLBY AVE ADDRESS: [AppAdd] <br /> EVERETT,WA, 98201 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> EMAIL: �,/ EMAIL: [AppEmail] <br /> CONTACT: fZ9.Owner 0 Applicant ❑Other <br /> NAME: LANGUS BILL <br /> PHONE: <br /> EMAIL: <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SS /5-00 <br /> PW Permit Required? i!YES 0 NO W.O.#: ia0a gOI5 Obw <br /> Notes: Associated Bldg./PW Permit#: C6/0-007 <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 /> 'Bl NO ,^, nn _ <br /> Explanation: F://i.61:8z 3V afirmwszi no i9t- k t, IA*" IwtAig Ard#AE•f;/rta/. <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 /> ❑ Meter Only, 0 Complete Service, Size 0%" Detect Meter Only, 0 Fire Service Size <br /> lit NO 100 <br /> Explanation: t , ► ��"1t• _ • SS 5-00 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-(/f yes, PWCCReviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): UI607"0/D <br /> SEWER FEE? <br /> ❑YES—Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ExNO I ( ig_otj) <br /> Expanation: / �it1 Sn. <br /> Existing Utility Permit#(if applicable): Oi 6014.—©a S <br /> SYSTEM DEVELOPMENT FEE? <br /> )itt —Amount$ yj 955 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other �/�,, �+ j,,B/ <br /> Explanation: N'&U) Sr&(963t/S> = #99'0. " W1 l�tlr t<u S�aa( 1 is a/)--.-4' 955 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) v NET DU 1/9(55 <br /> TRAFFIC MITIGATION FEE? <br /> 'YES—Amount$ I ?00.432 ❑ See Attached Spreadshe t �,razoo� i i' t a0/14t <br /> CI NO W/00 hSCR-- <br /> FW S - er>:d t 1, <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE SFR, /;See Attached Letter <br /> ❑ NO <br /> PW Reviewer: 10,1.0\4_, � Date: <br /> II I 4.-- 016 <br /> REVISED 10/11/2016 <br />