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147PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 12/20/2016 <br /> Permit#: PW1612.035 <br /> PROJECT ADDRESS: 7 71149TH 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 ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#:C/6 Q 6 -a 4/ <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> YES-Type /3 D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO /� <br /> Explanation: DJ-I VG'S' To Sf 2Cp <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-Co D — l/ 0 YES-Amount$ <br /> *Meter Only, 0 Complete Service, Size / 0 3/4" Detect Meter Only, 0 Fire Service Size <br /> CI NO 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(J <br /> OYES-Amount$ 70 )INew 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 (Vo srz2 Ca te,uCG- 'c yet- <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? ® <br /> ❑YES-Amount$ d 0 See Attached Spreadsheet <br /> %NO e f taf G7os ``corded <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> %YES-TYPE S'/ / X1'See Attached Letter <br /> ❑ NO <br /> PW Reviewer: 0 Date: / Q -/..6 <br /> REVISED 10/11/2016 <br />