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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/29/2016 <br /> Permit#: PW1603-066 <br /> PROJECT ADDRESS: 615 MILLWRIGHT LOOP N <br /> DESCRIPTION OF WORK: SITE WORK MOVED BLDG, NEW FOUNDATION-PORT OF EVERETT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: EVERETT PORT OF NAME: [AppName] <br /> ADDRESS: PO BOX 538 ADDRESS: [AppAdd] <br /> EVERETT,WA,98206 [AppCi], [AppSt], [AppZip] <br /> PHONE: 4252593164 PHONE: [AppPhone] <br /> EMAIL: EMAIL: [AppEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: WHITAKER BRANDON <br /> PHONE: 4253880613 <br /> EMAIL: BWHITAKER@PORTOFEVERETT.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: I <br /> PW Permit Required? m J <br /> YES 0 NO W.O.#: / <br /> Notes: Associated Bldg./PW Permit#: ,6/6.03 —QD-b <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 /> ❑ NO <br /> Explanation: , B06 /CEIVIAA/ <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 3 "Detect Meter Only, 0 Fire Service Size <br /> Explanation:,.' PLOrraft\A PIR,ffl l 1 FOP. 6Ufi'CF-& MT./ Explanation: <br /> - AF'CoNeV 70 irk' merele. <br /> ❑Water Department Cost Esti'matefN ded-(/tyes, PV1rf7eviewer to sena cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> yi YES-Amount$ . g New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: NE,W SIDE- S`g(,0&te FCre; We/YE4o& Se€ BUf(-®IA1C?, (x/) <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES-Amount$ 0 See Attached Spreadsheet <br /> XINO-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$ 0 See Attached Spreadsheet <br /> x(NO <br /> ADDRESS LETTER REQUIRREDD?Q (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> %"YES-TYPE (1017117)£�Y vl(�. *See Attached Letter <br /> ❑ NO <br /> jaJ-2, u& 4-II- 2.016 <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />