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QV1SE7 IIT- 17 g <br /> #44,- <br /> PUBLIC WORKS 1 <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) I Date: 4/6/2017 <br /> It Permit#: PW1704-003 <br /> PROJECT ADDRESS: 2132 BROADWAY g <br /> DESCRIPTION OF WORK: ADDITION &TI FOR EXISTING VET CLINIC ),.' �r <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: SMALLEY BAXTER PROPERTIES LLC NAME: ELLIOTT MORGAN ARCHITECT <br /> ADDRESS: 13016 23RD PL NE ADDRESS: <br /> SEATTLE,WA, 98125 ' ' <br /> PHONE: PHONE: 2063542412 <br /> EMAIL: EMAIL: morganrobertelliott@gmail.com <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: ELLIOTT MORGAN ARCHITECT <br /> PHONE: 2063542412 <br /> EMAIL: morganrobertelliott@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 0 YES , 'NO W.O.#: <br /> Notes: Associated BIdgJPW Permit#: B 1704-0/Z_ <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 /> Explanation:At NO y' / <br /> PLow a 6Ry k Hyd (1 oSL , <br /> 1�0-�- � ate �..11 by. <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 W Detect Meter Only, 0 Fire Service Size <br /> 14NO ° ' 0 N <br /> Explanation: EXi Sft� 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, ❑Alteration/Repair, 0 Cap-off/Reconnect <br /> ONO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMF 979 ( D <br /> S9 <br /> 3 <br /> Pel&.,1 cLjhio .5-9914),,t)(7°7= 4� <br /> YES—Amount$_ l 0 See Attached Spreadsheet (ered ) Keinmt 3/9X 7 07= 22 <br /> - _ <br /> 0 NO—No Change of Use I Other 'e " 0 <br /> ` 6 <br /> 0) 1 1 <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? , <br /> ❑YES—Amount$ O 0 See Attached Spreadsheet <br /> f(NO N'o+ rquired {ler totke Bi-ick <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: Date: <br /> REVISED 10/11/2016 <br />