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477PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/22/2016 <br /> Permit#: PW1607-039 <br /> PROJECT ADDRESS: 6603 HIGHLAND DR <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW SFR(LOT 4) <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: JACOBS DUANE NAME: BUSTARD CUSTOM CONST INC <br /> ADDRESS: 6601 HIGHLAND DR ADDRESS: PO BOX 1243 <br /> EVERETT,WA, 98203 MARYSVILLE,WA, 98270 <br /> PHONE: PHONE: 4258766551 <br /> EMAIL: EMAIL: amkhomes@gmail.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: BUSTARD PAUL <br /> PHONE: 4258766551 <br /> EMAIL: amkhomes@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: Irr <br /> 44 "OO <br /> PW Permit Required?EYES 0 NO W.O.#: 1 Oa —' g©ig"o s <br /> Notes: Associated Bldg./PW Permit#: 16'06-0/8 <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 /> XNO <br /> Explanation: <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$ 0 YES—Amount$ <br /> 0 Meter Only, 0 Complete Service, Size 0%" Detect Meter Only, 0 Fire Service Size <br /> VINO 6(NO <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate requeststto Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): 3/i1��Sr"/t /tt't aQ rta�l�. fSS(l — orsi g"'OL J <br /> SEWER FEE? 00 <br /> YES—Amount$ j(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ No Conn&f -b hv6 W€x u)/Sherd- Pk& n +�nn�;c n -to st 406!« <br /> Explanation: --� <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? u e" <br /> tiQ YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use)/Other <br /> Explanation: nJFAJJ SFI .2399 q SF (4 tj a Ito, -no vart: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 0 See Attachz1 Spreadsheet <br /> 13C NO Pa Mixt (PGI 140q-o? <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> Ie 'YES—TYPE SPR lit See Attached Letter <br /> 0N <br /> )oJifr.a <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />