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01.77- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/9/2018 <br /> Permit#: C1802-014 <br /> PROJECT ADDRESS: 5620 EAST DR <br /> DESCRIPTION OF WORK: SFR ADDITION,ATTACHED GARAGE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: HAMMER CORBIN&LESLEE NAME: [AppName] <br /> ADDRESS: 5260 EAST DR ADDRESS: [AppAdd] <br /> EVERETT,WA, 98203 [AppC1], [AppSt], [AppZip] <br /> PHONE: 4253508281 PHONE: [AppPhone] <br /> EMAIL: EMAIL: [AppEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: DAVE PEDERSEN(DESIGNER) <br /> PHONE: 4253875330 <br /> EMAIL: ggibuilders@yahoo.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? YES 0 NO W.O.#: ,/ <br /> Notes: Associated Bldg./PW Permit#: eV/803-004 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES-Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 'ANO <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 3/"Detect Meter Only, 0 Fire Service Size <br /> lir NO 18'NO <br /> Explanation: Explanation: <br /> Or] RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> Nlp°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 /> EYES-Amount$ 30%22 0 New Connection,� ti/ Alteratio Repair, 0 Cap-off/Reconnect ,f <br /> E planation: Upgrade_ Gtl�.f'- l &cad Tl�!'J v71 /y1F/el Phin iy �k r u rra k'Unara 4 <br /> Existing Utility Permit#(if applicable): l u / <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES-Amount$ 0 See Attached Spreadsheet <br /> III 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 /> 1ffi'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 /> gNO <br /> PW Reviewer: Date: <br /> .../ginkut <br /> 31ZI zag <br /> REVISED 10/11/2016 <br />