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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/5/2016 <br /> Permit#: PW1607-004 <br /> PROJECT ADDRESS: 1108 E MARINE VIEW DR <br /> DESCRIPTION OF WORK: SITE WORK FOR NEW CONSTRUCTION OF DETACHED GARAGE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: RYAN SCOTT NAME: RYAN SCOTT <br /> ADDRESS: 1108 E MARINE VIEW DR ADDRESS: 1108 E MARINE VIEW DR <br /> EVERETT,WA, 98201 EVERETT,WA,98201 <br /> PHONE: PHONE: 3604343037 <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: RYAN SCOTT <br /> PHONE: 3604343037 <br /> EMAIL: SCOTTRYAN1984@HOTMAIL.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#: <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 /> ArSIO <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, ❑ Fire Service Size <br /> XNO ❑ N <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? 0 d <br /> ES—Amount$ 0 New Connection, Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> KNO—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 /> N <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 0 YES—TYPE 0 See Attached Letter <br /> XNO <br /> 1(8 7 5-/.h <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />