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467-5 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/1/2017 <br /> Permit#: PW1709-001 <br /> PROJECT ADDRESS: 7030 LOWER RIDGE RD <br /> DESCRIPTION OF WORK: NEW DUPLEX <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: DYNASTY HOLDINGS LLC NAME: DYNASTY HOLDINGS LLC <br /> ADDRESS: PO BOX 716 ADDRESS: PO BOX 716 <br /> EVERETT,A, 98206 EVERETT,A, 98206 <br /> PHONE: 4252689456 PHONE: 4252689456 <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: HENDRY DANA <br /> PHONE: 4252689456 <br /> EMAIL: dana.hendry@htomail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required1$,YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C 170?- DOI <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> a NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> ❑YES—Amount$ 0 YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> NO — rr ff'' $['NO <br /> jV1 <br /> Explanation: 51r5 ex lSt1n5 1- 1 SehV(C2. Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> ❑YES—Amount$ �d <br /> 7Q-- New Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect 7Vex <br /> ❑ NO hos exis1r%10. S+t,1 b.eI- w;L1 be CDr)h c-fin($loliz <br /> Explanation: <br /> • <br /> Existing Utility Permit#(if applicable): 11011Se <br /> SYSTEM DEVELOPMENT FEE? 12j 7$7— 8794 .�99� 451440/ Ohe stet-y <br /> LYES—Amount$ 3??/ 0 See Attached Spreadsheet �$'d® � lined, ZQ <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ ❑ See Attached Spreadsheet <br /> ❑ NO ,See h'J l Z ly1 a/f! <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES—TYP dCtip(.eX ,iv1 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Date: )D-3I-I 7 <br /> /irk <br /> REVISED 10/11/2016 <br />