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4677PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-019 <br /> PROJECT ADDRESS: 2206 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 12 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@GMAILCOM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: Peter Anderson <br /> PHONE: 2069495828 <br /> EMAIL: pga.imagodelineo@msn.com r <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE P OJECT#: GTI if l6- 08' <br /> PW Permit Required? YES 0 NO W.O.#: IV/ISI" <br /> Notes: s m mit plug f + Associated Bldg./PW Permit#: 04/764'0* <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 /> ENO <br /> Explanation: 121"��.klhi, <br /> (�( � Q�E- �'LO �' <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> X(YES—Amount$ 9Q 0v ft5 N ❑YES—Amount$ <br /> 'Meter Only, 0 Complete Service, Size 3/q ❑3/4" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO 1'N0 <br /> Explanation: Explanation: <br /> �'1:11 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> NO 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 /> krYES—Amount$ ItJ'New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> (YES—Amount$ 83-9 .°9 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: /SO q 4 l 110 <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> BYES—Amount$ aHOO 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out AFIdress L tter fr TRAKiT Print Menu and include) <br /> 'YES—TYPE'71YUJ J I4Ofli 'See Attached Letter p GR ' <br /> ❑ NO N SCa& Ifo hpri <br /> /r it/ <br /> PW Reviewer: Date: /0��3� <br /> ((( <br /> REVISED 10/11/2016 <br />