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4"rPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/11/2017 <br /> Permit#: C1707-013 <br /> PROJECT ADDRESS: 2218 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 7 BLDG B <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 ❑ Applicant ❑Other <br /> NAME: Peter Anderson <br /> PHONE: 2069495828 <br /> EMAIL: pga.imagodelineo@msn.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SM/W—COct <br /> PW Permit Required?'YES 0 NO W.O.#: Ni//p" <br /> Notes: g WAY & pIFi Associated Bldg./PW Permit#: PZU/Wq—atie <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> EYES—Type (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> k(NO ,_ 0_ - , <br /> Explanation: F((2E cert) -cert) -- s <br /> tto efYu i�d <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: p BO FIRE SERVICE: <br /> 'y <br /> ar YES—Amount$ p©, 0 YES—Amount$ <br /> a Meter Only, 0 Complete Service, Size 3/4" 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO El NO <br /> Explanation: Explanation: <br /> 1 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ^►!'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$ DX New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> tirYES—Amount$ W7-9 6 °O 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: /30c1 (j MEM) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ZrYES—Amount$ ���, g' 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUI ED? (If yes (new assigned address), print out Address Let er f"rommtTRAKiT Print Men and include) <br /> IR YES—TYPE 7wAMO ne II See Attached Letter q .t`r�1 A� ?I .cw��1n epA/ 19 /9E <br /> ❑ NO SC 140 c E71� /,t �JJJ <br /> PW Reviewer: Date: (o(zs/ r- <br /> REVISED 10/11/2016 <br />