Laserfiche WebLink
0477PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/20/2016 <br /> Permit#: PW1612.37 <br /> PROJECT ADDRESS: 7'7O 19TH DR SE <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER <br /> ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY <br /> EVERETT,WA,98204 EVERETT,WA,98204 <br /> PHONE: PHONE: 3609532800 <br /> EMAIL: EMAIL: MATTR@SEAPACHOMES.COM <br /> CONTACT: ❑ Owner ❑ 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.#: / <br /> Notes: Associated Bldg./PW Permit#:i�/�/6 0(� —043 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> A YES-Type /3 D (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO 11 <br /> Explanation: bi-/ V ..1 TO Sf eq <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 00 FIRE SERVICE: <br /> ❑'YES-Amount$ 5-6 0 jf 0 YES-Amount$ <br /> *Meter Only, 0 Complete Service, Size / 0%" Detect Meter Only, 0 Fire Service Size <br /> 0 N 0 N <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? O t7 <br /> EYES-Amount$ 7o --- ,(New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> %YES-Amount$ 0 See Attached Spreadsheet IVO S/'Ze CQ£GUCako C/�f <br /> ❑ 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? 00 <br /> ❑YES-Amount$ G'' 0 See Attached Spreadsheet <br /> pi NO pctr0f to hen Pter.74 j;LoJ `e_COrde>C' <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> WYES-TYPE Si=IL f See Attached Letter <br /> ❑ NO <br /> PW Reviewer: Date: /Z- ZQ <br /> REVISED 10/11/2016 <br />