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477. PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-015 <br /> PROJECT ADDRESS: 2210 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 9 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: ❑ 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#: sinp- Ute$ <br /> PW Permit Required? �tT! YES ❑ NO W.O.#: N14- <br /> Notes: s tyt D �l) ev Associated Bldg./PW Permit#: RU —07�' <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 /> KNO l . <br /> Explanation: FIR - �E- /� 5��')riareAd <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> 4 YES-Amount$ ��ti® ❑YES-Amount$ <br /> CR'Meter Only, 0 Complete Service, Size WI" 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO !ONO <br /> Explanation: Explanation: <br /> (j la RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> Nip]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$ , New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> W'YES-Amount$ g/ l 6. gs 0 See Attached Spreadsheet <br /> ❑ NO-No Change of Use/Other <br /> Explanation: 1663 4" Arte Mk-) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE?q <br /> BYES-Amount$ p2 3VO . 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQ IRED? (If yes(new assigned address), print�/o,u-t_A�dress L tter fro91 TRAKiT Print Menu and include) <br /> ('YES-TYPE U L See Attached Letter/ate` cfAp1/T/GAfdZf Chivy 748 el-D6 eiem,r <br /> ❑ NO SCQ,/1 fo J/�9'7 J /r/A/lks <br /> PW Reviewer: I Date: AQiL3/�Zg <br /> �; f <br /> REVISED 10/11/2016 <br />