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.: 4.77 <br /> PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/11/2017 <br /> Permit#: B1708-017 <br /> PROJECT ADDRESS: 3310 MCDOUGALL AVE <br /> DESCRIPTION OF WORK: NEW 10,000SF WAREHOUSE AND SALES AREA W/STORAGE MEZZANINE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: Hill Street Investments NAME: WALKER MILES <br /> ADDRESS: Po Box 5459 ADDRESS: <br /> Everett,WA,98206 , , <br /> PHONE: PHONE: 4252590868 <br /> EMAIL: EMAIL: MILES@BNHARCH.COM <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> V PW Permit Required? OYES 0 NO W.O.#: <br /> Notes: t e9 tie j/ ics ae d Associated Bldg./PW Permit#: P&J 1706 —0 ii5 <br /> /FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> V YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: <br /> ',Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> ATER FEES? <br /> DOMESTIC SERVICE: 10FIRE SERVICE: 0 0 <br /> ❑YES—Amount$ YES—Amount$ V.980 , <br /> 0 Meter Only, 0 Complete Service, Size ,�3/4'Detect Meter Only, 0 Fire Service Size �� <br /> NO ( $e e)(i57'frL 0 NO WOf�y- ,::/e/.27` 7'b /�a,er <br /> Explanation: Explanation: est/fr.-747(c -for k'7Q/') CO/?fleC7t'O/-2 <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> I Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): ‘-----Re ctU e S7tel <br /> /'SEWER FEE? oO <br /> EYES—Amount$ --'c-/ 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$ d 0 See Attached Spreadsheet <br /> ANO—No Change of Use/Other / ,L <br /> Explanation: 6'ee #Q.-IL/ached' <br /> the / LA.)0,,4 �S/� 'e l _ <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FE <br /> YES—Amount$ ��(l `�L, CC,�f� iiU�l����0 See Attached Spreadsheet <br /> {{o NO eri _k <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE eaviv2 JS 'See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Kr'lc Date: (0-I 2-17 <br /> REVISED 10/11/2016 <br />