Laserfiche WebLink
i . _ <br /> _ p PU-'LIC WORKS <br /> ' 3i REVIEW WORKSHEET <br /> t <br /> (ATTA,C1 ITE PLAN FOR REVIEW) Date: 7/5/2016 <br /> Permit#: PW1607-003 <br /> PROJECT ADDRESS: 10111 9TH AVE W <br /> DESCRIPTION OF WORK: SITE WORK/TRAFFIC MITIGATION FOR A NEW 42 UNIT APT BLDG <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: SCRUPPS DEV INC NAME: SCRUPPS DEV INC <br /> ADDRESS: 11231 S LK STEVENS RD ADDRESS: 11231 S LK STEVENS RD <br /> LAKE STEVENS,WA, 98258 LAKE STEVENS,WA,98258 <br /> PHONE: 4254225163 PHONE: 4254225163 <br /> EMAIL: WPSCRUPPS at✓7COMCAST.NET EMAIL: WPSCRUPPS@COMCAST.NET <br /> CONTACT: 0 Owner 0 Applicant ®Other <br /> NAME: SCRUPPS WILLIAM <br /> PHONE: 4254225163 <br /> EMAIL: WPSCRUPPS@COMCAST.NET <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?PtYES 0 NO W.O.#: <br /> Notes: Associated BIdg.IPW Permit#: 8/606 -070 <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 /> D NO <br /> Explanation: <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) , seas m S -it \10" <br /> WATER FEES? G \ �DOMESTIC SERVICE: w FIRE SERVICE: 06Wejai4 <br /> ,if YES—Amount$ 6225,4 es/##.a4. ,/ X YES—Amount$ •fix 6 F <br /> )(Meter Only, D Complete Service, Size g3/4"Detect Meter Only, El Fire Service Size <br /> ❑ NO rg� =.� <br /> ( ❑ ,, �• Si,kffi <br /> ana o � Explanation:NO � v c' c� se .s spat f� ¢ fi��? 'd <br /> I Oka. ee.ed at premise?-(Pjumbing permit for bac , ow device needed due to High-Hazard Site per Tim Markham's review) <br /> ater Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> et -I - . • ee,17¢rte Clio- to' 6.144( /1j P:, t.,„ie, GJ,11 yels7'Qa {r <br /> SEWER FEE? U I�®� '-�1®J i I �f U � /� C���1 132 f t R ;, ����• 00 <br /> SNO Amount$ 70 y(New Connection, 0 Alteratio` '�-.-(r, 0 C Reconnect 9 <br /> Explanation: <br /> Existing Utility Permit#(if applicable): ►f I0 U F Q '-0/? —ail" <br /> SYSTEM DEVELOPMENT FEE? J <br /> -ID <br /> 1 YES—Amount$ Z '720 D See Attached Spreadshe <br /> D NO—No Change of Use/other - <br /> i , • <br /> Explanation: / elti 1---- <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if <br /> TRAFFIC MITIGATION FEE? ca f<<t i, Jc ve (ossfigeta/4) <br /> D YES—Amount$ ,_e471%4- See Attached S'pr-eadsl el <br /> DNO ` ei-A-tctiL <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address),prinlde) <br /> %YES—TYPE d '?&tl �, i3 c� 0 See Attached Letter pi i &Al fl <br /> e�• I d42) <br /> ❑ NO P, / ; bEVIuS <br /> PW Reviewer: rr —DDi4 S�v/t� o <br /> 77�: /'�a,�mS —DWI -Do>nasi k- gErvr>- 0— <br /> PFVIRFn V1/-11/20I8 <br />