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4677- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/19/2018 <br /> Permit#: eig03-01# <br /> PROJECT ADDRESS: 202 ALDER ST Pa <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.#: D <br /> Notes: Associated Bldg./PW Permit#: fki/30%I-035 <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 /> 153c 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 /> ❑Meter Only, 0 Complete Service, Size ❑'/"Detect Meter Only, 0 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$ 0 New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect <br /> NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> EYES—Amount$ Q'3�s 24 J-See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: 211 S'keteth <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> EYES—Amount$ *ASV.57' 0 See Attaied Spreadsheet <br /> ❑ NO 42658�IOWSF )C X96 sFAYI.perktdl£ W/33/'57„4 f96s►&s'on7i f? SftJy i 8/6'4ry eIoo17'. <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 /> NO <br /> PW Reviewer: jainAA. v4ieutf Date: <br /> `//7 zea <br /> RFVI..F!l 1n/11/901A <br />