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PROJECT REQUEST FORM
PLANNING/BUILDING/PUBLIC WORKS
(SOME SECTIONS APPLY TO CIP AND SOME APPLY TO DEVELOPER PROJECTS)
DATE 1/17 CONTACT: TERI WO#
FILE STATUS ® EXISTING OR ❑ NEW FILE CODE(SWP-27-2011
LOCATION ❑ My Work Space: ❑ File Bay Shelf#: 23 ❑ Other:
PROJECT NAME:(TERTIARY) PACCAR HOUSER WAY AND EAST/WEST INTERCEPTORS (label
line one) '__
(250 characters max)
Allowable Folder Title: (SECONDAY) IESrinee
MONITORING RESULTS; PRELIMIN Y PROJECT
DESCRIPTION (lab
(WORKING FILE)
Go to Utilities Pick Lt t( con Page)
DESCRIPTION OF PROJECT:
ADDRESS/STREET NAME(S):
DEV/CNTR/OWN/CNSLT:
OTHER ALIASES: IES REVIEW; MONITORING RESUL RELIMINARY PRO J DESCRIPTION
Size of Waterline: N/A New & N/A New
Size of Sewerline: N/A New & N/A New
Size of Stormline: N/A New & N/A New
CHECK EACH DISCIPLINE INVOLVED IN PROJECT Ltr Drwg #of sheets
❑ TED(roadway/drainage) ❑ ❑
(off site improvements) (include TESC)
❑ TRO (Signalization, Channelization, Lighting) ❑ ❑
❑ WWP (wastewater) ❑ ❑
(sanitary sewer main)
❑ WTR(water) (Mains,Valves, Hydrants) ❑ ❑
(inc.composite&HorizontalCtrl)
❑ SW(surface water imp.) ❑ ❑
(CIP only)(include basin name)
❑ PLR(plan review) (Neccessary for developer files) ❑ (letter only)
PLEASE CHECK THE DISCIPLINES WHICH NEED TO SIGN MYLARS
❑ WATER ❑ WASTEWATER ❑ SURFACE WATER ❑ TRANSPORTATION ❑ FIRE
FOR FILE MAINTAINANCE USE ONLY
File Codes: Date Entered and Labels Made:
SWP27201 Ldoc