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41277- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/28/2017 <br /> Permit#: PW1707-052 <br /> PROJECT ADDRESS: 6200 12TH DR SE <br /> DESCRIPTION OF WORK: SITEWORK FOR NEW SUPPORTIVE HOUSING BLDG <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: CATHOLIC HOUSING SERVICES NAME: ENVIRO WORKS COMMUNITY DESIGN CENTER <br /> ADDRESS: 100 23RD AVE S ADDRESS: <br /> SEATTLE,WA,98114 PHONE: <br /> PHONE: 2063285654 EMAIL: <br /> EMAIL: ptippy@ccsww.org <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: SINGER BILL(EWORKS) <br /> PHONE: 2067871372 <br /> EMAIL: bsinger@eworks.org <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?'YES 0 NO W.O.#: <br /> Notes: sEE SeMot, 01161,41 of(,(CS ?)S. Associated Bldg./PW Permit#: 81W07--051 <br /> tiU1167- tea <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 /> 0N , ,� q <br /> Explanation: S /� <br /> (Note:Counter Staff to Create Utilit -(�,Q� -- <br /> WATER FEES? e p1 ITIW o II .',r„• _•,;z1,-.0. <br /> DOMESTIC SERVICE: g 1 okssev2z - R► : „/ 0 n s,1,/� <br /> AYES–Amount$ �S(YES–Amount$ Tarr <br /> p"/^�'/tY <br /> ❑ Meter Only, 6d'Complete Service, Size y11 t � �, *3/4" Detect Meter Only, DI Fire Service Size (� <br /> ❑ NO - 0N <br /> Explanation: t�JA Explanation: t9a dee eiiiiJ (6At ,c a <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> tiff Water Department Cost Estimate Needed-(lf yes, PW Reviewer to sendt e <br /> cost estimaquest to ater Department, attach copy) <br /> Existing Utility Permit#(if applicable): 5 east. get " :Domt 4 , p j` , 141', adetirraily. <br /> SEWER FEE? <br /> Vrii YES–Amount$ [!1 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): /��� <br /> a S'STEM DEVELOPMENT FEE? De a jS 11 W a-' �/� = �j�/2i!bi S 97 <br /> IA YES–Amount$ $1)a$?, �I'See Attached Spreadsheet S j4Gi/ tdmi— 7�j 67 3- <br /> 30 <br /> ❑ NO–No Changenyof Use Other e / _/ �p <br /> Explanation:*mush d �'Ud•( ` 0O% r . to 7297'SyryA't i4O 1 <br /> (Note:Public Works Reviewer to Add Traffic Migation to PW Permit(if applicable)) !J <br /> V(RAFFIC MITIGATION FEE? ���ll�� p fes, <br /> NE —Amount$ /y /&O, `� ❑ See Attached Spreadsheet-- Tn*E3= Sa r " T 6112m <br /> V-gag <br /> El "700 -kr 4 fin Peak hour -{rlpS-v 8a% r&(a t t �i&su y�or /h9 -- 9 <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Addres Letter from TRAKiT_, Print Menu and include) <br /> YES–TYPE �1� � )R(See Attached Letter SCO" �p_NF mW mat <br /> ❑ <br /> NO <br /> ��)UUU <br /> PW Reviewer: Date: p <br /> /;oi F <br /> REVISED 10/11/2016 <br />