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477 PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-014 <br /> PROJECT ADDRESS: 2208 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 8 BLDG C <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#: sJ ifl/ <br /> PW Permit Required? U YES ❑�,N"O W.O.#: /VIS} �/ <br /> Notes: Ssz, m� 2 Pto f Associated Bldg./PW Permit#: plot*,ii-04 <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 /> g[NO �� <br /> Explanation: Fite� Q,815E- Ito seri (€13' <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: pFIRE SERVICE: <br /> bi(YES-Amount$ 130, �i ❑YES-Amount$ <br /> riir Meter Only, 0 Complete Service, Size f'1 0 3/" Detect Meter Only, ❑ Fire Service Size <br /> ❑ NO 14 NO <br /> Explanation: Explanation: <br /> #111 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> gill 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 /> EYES-Amount$ .49- New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE?/ <br /> EYES-Amount$ S94:0. 29- 0 See Attached Spreadsheet <br /> ❑ NO-No Change of Use/Other <br /> Explanation: 11-12 $ (jp C IJ1) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 'BYES-Amount$ 91/00.912 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRD? (If yes (new assigned address), print ut ddress L tter' from TRAKiT Print lnu and include) <br /> AYES-TYPE l f LOM f101 1 E Q!'See Attached Letter�q a �2 1 CR•1v� (I,O IU k4 j Pf2h2IY <br /> ❑ NO ' N,9 ,* J� ' ,SU ✓✓ <br /> PW Reviewer: <br /> g 546tik__ <br /> Date: /0/z3/700.. <br /> REVISED 10/11/2016 <br />