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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/21/2018 <br /> Permit#: CW1802-004 <br /> PROJECT ADDRESS: 721 COLBY AVE <br /> DESCRIPTION OF WORK: CONVERT EX HEATED STORAGE TO LIVING AREA/FRONT PORCH TO <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: BAKER DUSTIN&SARAH NAME: OWNER <br /> ADDRESS: 1206 W MUKILTEO BLVD ADDRESS: <br /> EVERETT,WA,98203 , , <br /> PHONE: 2068174412 PHONE: <br /> EMAIL: DUSTINBAKER82@GMAIL.COM EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Reguireed_r?�,❑ YES 'INO wicket <br /> W.O.#: <br /> Notes: P ui47fil 4 ' ' ' 4141-84. <br /> Associated Bldg./PW Permit#: Li I F <br /> r <br /> FA4)114- not- rEf turd. <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 /> I 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 s/1' Detect Meter Only, 0 Fire Service Size <br /> KNO / NO <br /> Explanation: Explanation: <br /> rl RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N` 7 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 /> 'ANO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> ii[NO—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 /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> Y.NO <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 /> W NO <br /> PW Reviewer: 0\13b....., <br /> c� Date: <br /> 1 3\1\\% <br /> REVISED 10/11/2016 <br />