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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/11/2017 <br /> Permit#: C1707-009 <br /> PROJECT ADDRESS: 2304 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 3 BLDG A <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: MVM DEVELOPMENT AND NAME: Peter Anderson <br /> CONSTRUCTION ADDRESS: 3918 SW Orchard St. <br /> ADDRESS: 19528 VENTURA BOULEVARD SEATTLE,WA, 98136 <br /> Tarzana, CA,91356 PHONE: 2069495828 <br /> PHONE: 8188226560 EMAIL: pga.imagodelineo@msn.com <br /> EMAIL: GMOALEM@GMAIL.COM <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: Peter Anderson <br /> PHONE: 2069495828 <br /> EMAIL: pga.imagodelineo@msn.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: Snip l6-OOS <br /> PW Permit Required? ® YES ❑ NO W.O.#: N/f <br /> Notes: &-E-,e, /MA S "WO Associated Bldg./PW Permit#: PGt10?6'D'/t <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ROO <br /> Explanation: FIREelyD6-/l0 aeric s <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE:/IpFIRE SERVICE: <br /> `7 <br /> NtYES—Amount$ 60.5inYES—Amount$ <br /> [(Meter Only, 0 Complete Service, Size 3/411 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO 14 NO <br /> Explanation: Explanation: <br /> NIB-RPBANeeded at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> IJ 'Water Department Cost Estimate Needed-(If 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• R'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> El YES—Amount$ $ 6 . ❑ See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other® <br /> Explanation: 163 <br /> g 41 (Il0 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> EYES—Amount$ 21/me ❑ See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIItED? (If yes(new assigned address), print 9pA�dress etter from TRAKiT Print Menu and include) <br /> gYES <br /> E —TYPE 'Mal /t0111e ®"See Attached Letter ....AN-UAL eery '{D tiCDC�axon-- <br /> ▪ O <br /> SOCK 71) <br /> ✓ <br /> AtrkS <br /> PW Reviewer: Ardite/u_Alai& Date: /0/ /z4.`,. <br /> REVISED 10/11/2016 <br />