3228 NORTON AVE A - D HOUSING HOPE 2020-02-28

477- PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/10/2016 Permit#: PW1607-012 PROJECT ADDRESS: 3228 NORTON AVE DESCRIPTION OF WORK: SITE WORK AT 3228 A&B C&D,3230,3232 NORTON CONTACT INFORMATION: OWNER: APPLICANT: NAME: HOUSING HOPE-NORTON AVE NAME: HOUSING HOPE ADDRESS: 5830 EVERGREEN WAY ADDRESS: EVERETT,WA,98203 , PHONE: PHONE: EMAIL: EMAIL: CONTACT: 0 Owner 0 Applicant NOther NAME: BULLOCK TODD PHONE: 4253476556 EMAIL: TODDBULLOCK@HOUSINGHOPE.ORG COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?'LYES 0 NO W.O.#: / Notes: Associated Bldg./PW Permit#: ego 07-00/ e.1607-011 FIRE SPRINKLER REQUIRED?(by Fire Department/Code) r,1 SO? `dd3 ❑YES-Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) E p• a ation: -5c1S77AI$ S .Jt / - 1Lb6 73 E-V U/ . (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑YES-Amount$ 0 YES-Amount$ 0 Meter Only, 0 Complete Service, Size 0 3/" Detect Meter Only, 0 Fire Service Size ISCNO id NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? ❑YES-Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect %NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? ❑YES-A _.unt$ 0 See Attached Spreadsheet • NO o Change of Us=/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES-Amount$ 0 See Attached Spreadsheet MOO ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ❑YES-TYPE 0 See Attached Letter B(NO Gd40‘.61A0L- 8/1g/ted‘Ik/ ‘ Public Works Reviewer Signature D REVISED 2/24/2016