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PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) Date: 8/31/2016 <br />Permit #: PW1608-073 <br />PROJECT ADDRESS: 4110 CLIFF DR <br />DESCRIPTION OF WORK: 2 LOT SHORT PLAT <br />CONTACT INFORMATION: <br />OWNER: <br />APPLICANT: <br />NAME: <br />REID SECUNDUS, LLC <br />NAME: WAYNE SMITH <br />ADDRESS: <br />519 HOQUTAM AVE NE <br />ADDRESS: P.O.BOX 5015 <br />RENTON, WA, 98059 <br />EVERETT, WA, 98203 <br />PHONE: <br />4252521884 - <br />PHONE: 4252521884 <br />EMAIL: <br />EMAIL: <br />G 6 <br />CONTACT: ❑ <br />Owner ❑ Applicant ❑Other <br />NAME: <br />JOSEPH SMEBY(OMEGA ENGINEERING, INC) <br />PHONE: <br />4259034852 <br />EMAIL: <br />joe@omega-eng.com <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />PW Permit Required? ❑ YES ❑ NO <br />Notes: <br />LAND USE PROJECT #: <br />W.O. #: <br />Associated Bldg./PW Permit #: <br />FIRE SPRINKLER REQUIRED? (byFire Department/Code) <br />YES —Type % (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br />❑ NO <br />Explanation- 11,0 <br />(Note: Counter Stafl o Create Utility Permit for any WaterlSewerlSystem Development Fees) <br />WATER FEES.'c�,p7jA Si'1� ��j. /$Ii��jj �/ <br />DOMESTIC SERVICE: _ �l, t;0 _0 � FIRE SERVICE` 7Q? <br />IVIYES — Amount $_ 34 J 6 % � ' f / ❑ YES — Amount $ <br />❑ Meter Only, ❑ Complete Service, Size ❑ %" Detect Meter Only, ❑ Fire Service Size <br />❑ NO ❑ NO <br />Explanation: 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 $ rI a x� Ir New Connection, _11:4(Alteration/Repair, ❑ Cap-off/Reconnect <br />❑ NO <br />Explanation: �'L % Z) <br />Existing Utility Permit # (if applicable): �►. I` ' <br />SYSTEM DEVELOPMENT FEE? <br />❑ YES — Amount $ I 0 See Attached Spreadsheet C K py� GJ p <br />❑ NO — No Change of Use /Other 1/ou sjlr��M <br />Explanation: <br />(Note: Public Works Reviewer to Add Traffic Mitigation to PW Permit (if applicable)) <br />TRAFFIC MITIGATION FEE? <br />❑ YES — Amount $ ❑ See Attached Spreadsheet <br />❑ NO <br />ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br />)jYES —TYPE ❑ See Attached Letter <br />❑ NO <br />PW Reviewer: " ' Date: V a�� 1-j> <br />REVISED 10/11/2016 <br />