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477- PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/11/2017 <br /> Permit#: C1707-008 <br /> PROJECT ADDRESS: 2306 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 2 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: 0 Owner 0 Applicant ❑Other <br /> NAME: Peter Anderson <br /> PHONE: 2069495828 <br /> EMAIL: pga.imagodelineo@msn.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: cSing14-CiOg <br /> PW Permit Required? YES 0 NO W.O.#: <br /> Notes: Sfje__ Attht_ S fit)pc/anik Associated Bldg./PW Permit#: <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 /> KNO <br /> Explanation: Fuze Ce1Y ,'(,p gpmd ) <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> OYES-Amount$ �g0. it ❑YES-Amount$ <br /> it Meter Only, 0 Complete Service, Size 317 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> 0 N '14 NO <br /> Explanation: Explanation: <br /> N( RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> On 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 /> ICI YES-Amount$ -104 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> EYES-Amount$ � 6 9/• :47°O 0 See Attached Spreadsheet <br /> ❑ NO-N Change of Use/Other <br /> Explanation: KgS 4 td 11677£. 40/05 7er manK 4?(I I /107710 .--erthl- <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> Y7 YE -Amount$, i,_ - 0 See Attached Spreadsheet <br /> SYS `p kfhC /►'�'7'4 <br /> NOjgOO„Fo,, 4zigtO,e 4- ' Or c f` = 0.=� s;A M <br /> ADDRESS LETTER REQUIRED? (If yes (new signed address), print ut A dress Letter fro TRAKiT Print Menu and include) <br /> EYES-TYPE ' iaj,J Wang- E(See Attached Letter ; //184,4S 10 ' Me/VT <br /> ❑ NO N-3C `-11. �p /r684,4 '. <br /> PW Reviewer: jelovk Date: 100/20 <br /> REVISED 10/11/2016 <br />