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Olgerr PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-021 <br /> PROJECT ADDRESS: 2202 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 14 BLDG D <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 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#: (SW)t9-/‘ <br /> PW Permit Required?EYES 0 NO __ W.O.#: Wit <br /> Notes: S /ri0�n, . f(jt.) f'E/i4V1J 1 . Associated Bldg./PW Permit#: ea76441/1 <br /> 71 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> it NO• —Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 1a NO <br /> Explanation: nee Co1Y -ro 37144-1411,6 <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> EYES—Amount$ 4 'Q " 0 YES—Amount$ <br /> g(Meter Only, 0 Complete Service, Size @oyi ❑3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO N(NO <br /> Explanation: Explanation: <br /> NPP RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> NIIV 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 /> lid YES—Amount$ % KNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 6'YES—Amount$ '3,49 6 •se ❑ See Attached Spreadsheet <br /> ❑ NO—No Change of Use /Other <br /> Explanation: IECO9 lb (no awn') <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> W(YES—Amount$ 211001 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQ IRED? (If yes (new assigned address), print out A Mem <br /> and Letter froniTRAKiT Print Menaand include <br /> lig YES—TYPE IDWA/MmE IS See Attached Letter f Q Io bo <br /> ❑ NO �- C4.41. // <br /> it <br /> PW Reviewer:...Aida_ ittillfit1/4_ Date: PD f:,..2 <br /> REVISED 10/11/2016 <br />