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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-016 <br /> PROJECT ADDRESS: 2212 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 10 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#: aiFf Ift-OCIg <br /> PW Permit Required?t3 YES 0 NO W.O.#: NIP <br /> P <br /> Notes: set mW aft, Fit) eurder Associated BIdg./PW Permit#: P14)t oV-Qgg <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 /> 1B;NO <br /> Explanation: row- Choc -MO SPe trJi:(.gR$ <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: p� FIRE SERVICE: <br /> t� <br /> DYES-Amount$ 10)t' 3/ p ❑YES-Amount$ <br /> Meter Only, 0 Complete Service, Size y 0%" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO sir NO <br /> Explanation: Explanation: <br /> NIS RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> NIS 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 /> 'YES-Amount$ -313.� llNew 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$ SIS 6r..d" 0 See Attached Spreadsheet <br /> ❑ NO-No Change of Use/Other <br /> Explanation: 1665 4 (no e,rtetil- <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 'YES-Amount$ aq&fl.00 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQ IRED? (If yes (new assigned address), print o t Ad ress Lett r from T) AKiT Print Menu and include) <br /> EYES-TYPE IIMINIA0M6 ee Attached Letter- �,yeA y p • a /tn' <br /> r <br /> ❑ NO SCS J Ei ✓ r� ahAs <br /> PW Reviewer: ' Date: /O/ a® a <br /> 41"• I C l <br /> REVISED 10/11/2016 <br />