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0477- , <br /> PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-023 <br /> PROJECT ADDRESS: 2128 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 16 BLDG E <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#: 987 41 6-19 05 <br /> PW Permit Required?Er YES ❑ NO W.O.#: Ai/it ' p <br /> Notes: a intuh, f Pa) e ��Associated Bldg./PW Permit#: 1 D 1c <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES–Type (If <br /> ��yes, <br /> �'add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 1 NO <br /> Explanation: AgeCa�Dt✓—IV S9ityLkVt�to <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: o, FIRE SERVICE: <br /> $f YES–Amount$ 1O0 C l/ ❑YES–Amount$ <br /> IgiMeter Only, 0 Complete Service, Size <br /> gill" 0 3 "Detect Meter Only, 0 Fire Service Size <br /> ❑ NO 111;'NO <br /> Explanation: Explanation: <br /> Vila RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> NIa Water Department Cost Estimate Needed-Of yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> DYES–Amount$ t OId kj 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. 0 See Attached Spreadsheet <br /> ❑ NO–No Change of Use/Other <br /> Explanation: /$05 41 loto'Monte (No cap? <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 18'YES–Amount$ gime ti a° 0 See Attached Spreadsheet <br /> 0 N <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Addre s etter f .m T, KiiTT�PP ntty� .e.nu an inclu e) <br /> Eil YES–TYPE Trft(�1 Jl'I'�e El'See Attached Letter /1 -3 pp ` ' <br /> ❑ NO \ c�Cayt ! J- <br /> PW Reviewer: awli YeriSt-A— Date: itzs��arr- <br /> REVISED 10/11/2016 ((1 �� i <br />