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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/12/2017 <br /> Permit#: C1707-017 <br /> PROJECT ADDRESS: 2214 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 11 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#: SY71 "/6-� <br /> PW Permit Required? 'YES 0 NO Y W.O.#: N/�" ,�®p <br /> Notes: 9 St- )'t 1YVJ 1€,4' r J Associated Bidg./PW Permit#: AV0 �-U 1 H <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ❑YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> VINO <br /> Explanation: FIRE- aOOE` ?S10StiYaliAis <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> YES—Amount$ 'd SO 8 II ❑YES—Amount$ <br /> 'Meter Only, 0 Complete Service, Size `I 0%" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO E-NO <br /> Explanation: Explanation: <br /> NikErRPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> /VIM 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$ %0�0 RNew Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> 0 N <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 'AYES—Amount$ 3 -9 6 Q° 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: 130 1134 O0 V4' ) <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), printnt dress tter from TRAKiTPrintMenu and include) <br /> AYES—TYPE TOMVN0??1E zSee Attached Letter/ S""I 7 7a 01-P Pfion <br /> o NO449 <br /> PW Reviewer: jcti) � Date: fo fa3/zO-L�REVISED 10/11/2016 �l <br />