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iii I <br /> 477- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/9/2017 <br /> Permit#: PW1710-009 <br /> PROJECT ADDRESS: 127 BARBARA LN <br /> DESCRIPTION OF WORK: NEW SINGLE STORY GARAGE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ROUMELIOTIS KIRIAKOS NAME: ROUMELIOTIS KIRIAKOS <br /> ADDRESS: 4420 75TH ST SW ADDRESS: 4420 75TH ST SW <br /> MUKILTEO,WA, 98275 MUKILTEO,WA, 98275 <br /> PHONE: PHONE: <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: MARTIN REIMERS,AIA <br /> PHONE: 4253778786 <br /> EMAIL: MREIMERS@CONCEPTARCHITECTURE.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? in YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/?`06— O z <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 <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 /> gxNO ❑ NO <br /> planation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑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): <br /> SEWER FEE? <br /> ❑YES-Amount$ 0 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> NO <br /> xplanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES-Amount$ 0 See Attached Spreadsheet <br /> yrNO-No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ? <br /> ❑YYES-Amount$ 0 See Attached Spreadsheet <br /> C� <br /> / O <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES-TYPE 0 See Attached Letter <br /> 6NO <br /> PW Reviewer: ✓� C.r1 -7 iG�J� OS Date: /VC/ /f <br /> REVISED 10/11/2016 <br />