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477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/19/2018 <br /> Permit#: 151303-039 <br /> PROJECT ADDRESS: 202 ALDER ST P 1 <br /> DESCRIPTION OF WORK: INSTALL(1)NEW PORTABLES LANDING/WELCOME RAMP-VIEW RIDGE <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: EVERETT SCHOOL DIST 2 NAME: COLLINS J <br /> ADDRESS: 4730 COLBY AVE ADDRESS: <br /> EVERETT,WA, 98203 , , <br /> PHONE: PHONE: 4253854195 <br /> EMAIL: EMAIL: JCOLLINS@EVERETTSD.ORG <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 Required? EYES 0 NO W.O.#: p /� <br /> Notes: Associated Bldg./PW Permit#: fiu1S0,/—o55 <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 /> '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%"Detect Meter Only, 0 Fire Service Size <br /> 1610 IA 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$ ❑ New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> lit NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> EYES-Amount$ 036 i 24 )(See Attached Spreadsheet <br /> ❑ NO-No Change off''Use/Other <br /> Explanation: 24 JTUeiejuts" <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> EYES-Amount$ L?,33j 57- 0 See AttaGied Spreadsheet <br /> ❑ NO 4Z653/1000SF x 296 SFr l rerfai&t Ag38f.57.4 filost-etbS'OrlT?f Sfu y 8,90/witty achoo17. <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 /> 1St NO <br /> PW Reviewer: Date: /./ <br /> ..AtAAA <br /> 4/ 8 zea <br /> RFVIRFf 1A/11/701R _ - - <br />