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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/15/2017 <br /> Permit#: PW1702-028 <br /> PROJECT ADDRESS: 415 RIVERSIDE RD <br /> DESCRIPTION OF WORK: SITE WORK FOR RIVERSIDE BUSINESS PARK-LATITUDE PHASE 1 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: PORT OF EVERETT NAME: LATITUDE DEVELOPMENT LLC <br /> ADDRESS: PO BOX 538 ADDRESS: PO BOX 817 <br /> EVERETT,WA, 98206 AUBURN,WA, 98071 <br /> PHONE: 4253880630 PHONE: 2533945111 <br /> EMAIL: ELISEG@PORTOFEVERETT.COM EMAIL: DAVE@DBROS.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: THE BLUELINE GROUP(CHRIS MILLER) <br /> PHONE: 4252507249 <br /> EMAIL: CMILLER@THEBLUELINEGROUP.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SF/A-14-039 <br /> 14--039 <br /> PW Permit Required?EYES 0 NO W.O.#: �1L <br /> Notes: Associated Bldg./PW Permit#: �y \ <br /> 131103-03o LT UPs9NEu <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> $YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO nJ <br /> Explanation: Fill, 1.k.— QV., PM- RPM/MAMA <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> W• ER FEES? <br /> ,% MESTIC SERVICE: efrs!1 RE SERVICE: p <br /> )(YES—Amount$_ ,!l0. �� i1oiXY S—Amount$ 4oQt 9/ <br /> '.Meter <br /> Only, 0 Complete Service, Size Pr' v3/4" Detect Meter Only, }(Fire Service Size 8 <br /> 0 N 0 N <br /> Explanation: Explanation: <br /> 14RFBA Ne ded at at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> In b <br /> Water Deu�ep rf'ment Cost Estimate Needed-(/f yes, PW Reviewer to se d cpsststimate request to Water Department, attach copy) <br /> C2t as-l-i1ma �r eonnsc-ns lo rnai . sur ft 1 - f�o y. <br /> Existing Utility ermit#(if applicable): <br /> 14/4g/VER FEE? <br /> EYES—Amount$ New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0 N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> YSTEM DEVELOPMENT FEE? p'tt4 kF' adz' -b 81/03-0W. <br /> ]AYES—Amount$ 3.6,b 1.12 XLSee Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other— <br /> Explanation: <br /> ther Neu.Explanation: i l Ne <br /> :6S�50%�f 4' O Em fte. f�6D) :33,9v-10f <br /> (Note:Public Works Reviewer t A d Traffic Mitigation to PW Permit(if applicable)) <br /> $ gPP )) <br /> RAFFIC MITIGATION FEE? — add #p Bl703_030. <br /> EYES—Amount$�65 5111. kSee Attached Spreadsheet <br /> ❑ NO <br /> v4DDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> X-YES—TYPE COMITIC .CtAt I(See Attached Letter <br /> ❑ NO NI5 JC,�v Fi1'SI'AFi /W <br /> PW Reviewer: Date: <br /> °61/1" C/‘ Zi/7 <br /> REVISED 10/11/2016 // <br />