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011677- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/14/2016 <br /> Permit#: C160'-011 <br /> PROJECT ADDRESS: 3'H3 31ST DR <br /> DESCRIPTION OF WORK: NEW TOWNHOME LOT 135 BLDG 16 <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: POLYGON WLH LLC NAME: POLYGON WLH LLC <br /> ADDRESS: 11624 SE 5TH ST SUITE 100 ADDRESS: 11624 SE 5TH ST SUITE 100 <br /> BELLEVUE,WA,98005 BELLEVUE,WA,98005 <br /> PHONE: 4255867700 PHONE: 4255867700 <br /> EMAIL: EMAIL: <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: PANI ALAN <br /> PHONE: 4255867700 <br /> EMAIL: ALAN.PANI@POLYGONHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? IX YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: i()1 SO!' col <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES-Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> tit NO <br /> Explanation: FirP , <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$ 500.L'" I 0 YES-Amount$ <br /> Eit Meter Only, 0 Complete Service, Size 3/��/ 0 3/"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO 1St NO <br /> Explanation: Explanation: <br /> NIS RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N1©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 /> 14 YES-Amount$ 70,00 ('New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 14 YES-Amount$ 0 See Attached Spreadsheet <br /> ❑ NO-No Change of Use/Other //" - <br /> Explanation: Mb 4 *W I i&tnF ! 8£40Se) <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 /> NO itepea 14 77�(.Gt <br /> ADDRESS-LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> '(YES-TYPE 7Vd1/WHOin6 ' See Attached Letter�g l SOM. eO11C '10 JL` --ss � ''marks- <br /> ❑ NO •onE, a1 O�CIIF4 10 ri0 permit-411e Ad <br /> PW Reviewer: , / " � Date: <br /> REVISED 10/11/2016 <br />