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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 6/1/2017 <br /> Permit#: PW1706-002 <br /> PROJECT ADDRESS: 3410 OAKES AVE SE <br /> DESCRIPTION OF WORK: CONSTRUCT GARAGE WITH IN-FILL DEWELLING UNIT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: MCNEILL JOHN M III NAME: MCNEILL JOHN M III <br /> ADDRESS: 3410 OAKES AVENUE ADDRESS: 3410 OAKES AVENUE <br /> EVERETT,WA, 98201 EVER TT,WA, 98201 <br /> PHONE: PHONE: 20196322 <br /> EMAIL: EMAIL: II <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?El YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:6 I 705'-OG <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 /> ',2(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 /> 0 Meter Only, 0 Complete Service, Size 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> lit NO NO <br /> Explanation: xplanation: <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-Of 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$ 3d 0 New Connection, Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> , fYES-Amount$ 043I 0 See Attached Spreadsheet a-4AI d wee,Lb Ns U14/4_ <br /> 0 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 /> XNO - - /D +/-ipSJ .. 2X#►utp± <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> YES-TYPE .SF2 R7 See Attached Letter <br /> ❑ NO <br /> PW Reviewer: �j Date: 4 -/ - 7 <br /> REVISED 10/11/2016 <br />