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417PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 4/14/2016 <br /> Permit#: C1603-0412 <br /> PROJECT ADDRESS: 311y1 31ST DR <br /> DESCRIPTION OF WORK: NEW TOWNHOME LOT(36 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? PI YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: 601$03---025 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ti(NO <br /> Explanation: FiT£ <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> (YES—Amount$ 500.9210❑YES—Amount$ <br /> tg Meter Only, 0 Complete Service,Size 3/y ❑%" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO NO <br /> Explanation: Explanation: <br /> 141Ik1 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N�1 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$ 70,4 Dif New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> I1(YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: I I .1 `f 0101hOmE, (wSEt- <br /> (Note: <br /> Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 0 See Attached Spreadsheet <br /> KNO Atruzi <br /> PA ;Aral <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> 181 YES—TYPE 78wNffOrn6 KSee Attached Letter /Se.Gsl one lu <br /> -t Je Marks- <br /> ❑ NO `0nE, away,oaCl -to PO QEr'l)1171 <br /> —,44P1rea ' ' y <br /> PW Reviewer: / 1 Date: <br /> ?a, 3 8 2018 <br /> REVISED 10/11/2016 <br />