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477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-020 <br /> PROJECT ADDRESS: 2204 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 13 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: 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#: Sn7/3i4`-0$S <br /> PW Permit Required? El YES 0 NO W.O.#: u/n" l Q <br /> Notes: sfx, n tali) rt./ 4Vr7 <br /> 77� Associated Bldg./PW Permit#: Pfi(//� —D'/ <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 0 YES–Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> Explanation: Ft0.01 E- tit yr/hi-LW <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: eO FIRE SERVICE: <br /> *YES–Amount$ 7 t �1 ❑YES–Amount$ <br /> Meter Only, 0 Complete Service, Size ✓,4Il ❑3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO t 'NO <br /> Explanation: Explanation: <br /> RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> Mg 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 /> OYES–Amount$ VI New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> )AYES–Amount$ Vc]( . 0 See Attached Spreadsheet <br /> ❑ NO–No Change of Use/Other <br /> Explanation: 1643 0 (At ,w r ) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 'EYES–Amount$ 9100, 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print oress Wes fpffn TRAKiT Print Menu and include) <br /> AYES–TYPE llr JtJ Norkg, ErSee Attached Letter ® 1 extry4 <br /> ❑ NO scan le eV Ark <br /> PW Reviewer:..)&60_ `all/AIL Date: lofzsf209. <br /> REVISED 10/11/2016 <br />