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4"7 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/23/2017 <br /> Permit#: PW1706-045 <br /> PROJECT ADDRESS: 3620 BROADWAY <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW COMMERCIAL SHELL <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: VAN WINKLE PROPERTIES LLC NAME: VAN WINKLE PROPERTIES LLC <br /> ADDRESS: 2410 38TH ST ADDRESS: 2410 38TH ST <br /> EVERETT,WA, 98201-5300 EVERETT,WA,98201-5300 <br /> PHONE: PHONE: <br /> EMAIL: EMAIL: <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: James Thomas <br /> PHONE: 4252590661 <br /> EMAIL: jthomas@arch-design.net <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 0 YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: "�/-706— <br /> FIRE <br /> -706—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 /> pi NO <br /> Explanation: Xe-e. d 4a2-1?/`"W) <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 /> P-Meter Only, 0 Complete Service, Size 1f/ 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO ❑ 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-(/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$ 4 5'7V 0 New Connection, •'Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES—Amount$ t See Attached Spreadsheet s A+42-S4.312 _ <br /> gNO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> �RAFFIC MITIGATION FEE?6/ 2!� <br /> ❑YES—Amount$ "See Attached Spreadsheet ,c cze .Bat-1C— %fi{ l(� <br /> ❑ NO V <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> Air_TYPE (See Attached Letter <br /> PW Reviewer: Am. - Date: <br /> Crih,/200 /7" <br /> REVISED 10/11/2016 <br />