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0477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 5/15/2017 <br /> Permit#: C1705-011 <br /> PROJECT ADDRESS: 917 112TH ST SE <br /> DESCRIPTION OF WORK: NEW SFR DETACHED <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: HABITAT FOR HUMANITY OF NAME: [AppName] <br /> SNOHOMISH COUNTY ADDRESS: [AppAdd] <br /> ADDRESS: 925 1/2 112TH ST SE [AppCi], [AppSt], [AppZip] <br /> EVERETT,WA,98208-5025 PHONE: [AppPhone] <br /> PHONE: EMAIL: [AppEmail] <br /> EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: ANDERSON CHRIS <br /> PHONE: 4259222066 <br /> EMAIL: chris@hfhsc.org <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?Pit YES 0 NO W.O.#: _ _ <br /> Notes: Associated Bldg./PW Permit#: RAJ 17-65-62,C <br /> VYE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ES—Type (If yes, add to TRAKiT under ReviewerpComments on Bldg Permit and Stamp Drawings) <br /> NO <br /> ❑xplaanation: pvt. i�wcv A j(/e c/ _Sp—i i 6@ r ,a �E? 8 / '/ 7 <br /> E <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> 04 <br /> ❑YES—Amount$ ©� " - ❑YES—Amount$ <br /> ElMeter Only, ElComplete Service, Size ❑'/" Detect Meter Only, 0 Fire Service Size <br /> nNO ❑ NO <br /> Explanation: : _:1A I '., r. 2.1PfiiL; ....E 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 /> EYES—Amount$ 6o . 0 New Connection, 0 Alteration/Repair, ,if-Cap-off -econnect <br /> LI NO <br /> Explanation: -ee>'lnd -to £,od34►tq SF,cx, -S£/7,V <br /> Existing Utility Permit#(if applicable): <br /> 4,7 SYSTEM DEVELOPMENT FEE? <br /> IRCYES—Amount$ 1324.00 XSee Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> v TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> VI NO ojeaN- fA.N sm <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES—TYPE seg- h'See Attached Letter <br /> 0 N f <br /> PW Reviewer: `4Airvils <br /> jab Date: Zlqg/�1 <br /> JimT <br /> REVISED 10/11/2016 <br />