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1.4/Err PUBLIC WORKS OS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 9/1/2017 <br /> Permit#: PW1709-002 <br /> PROJECT ADDRESS: 7102 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,WA, 98206 EVERETT,WA, 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@hotmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?rst.YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> C /709- 002. <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑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 Crette Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? , <br /> DOMESTIC SERVICE: PO <br /> (/ ./ ,S,c 42e FIRE SERVICE: <br /> ❑YES—Amount$ Der Tw►�S` 0 YES—Amount$ <br /> Meter Only, 0 Complete service, Size 0 3/"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO C1 jg(NO <br /> Explanation: LXISfnijC dorm4T S@f^VIte ' 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$ 7Q^ .Ee'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 12/797- 6796 - 399/ Dep(ex- Prew?icc <br /> EYES—Amount$ ???// ❑ See Attached Spreadsheet <br /> ❑NO—No Change of Use/Other hied ft Fe CV�c <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 00 <br /> %YES—Amount$ Z100-- 0 See Attached Spreadsheet <br /> ❑ NO See 11-74e,j,r,`CE eMtd/G. <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> XI-YES—TYPE duplex, I See Attached Letter <br /> ❑NO <br /> PW Reviewer: ` Date: /0.....3/ /7 <br /> REVISED 10/11/2016 <br />