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477PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/11/2017 <br /> Permit#: C1707-012 <br /> PROJECT ADDRESS: 2220 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 6 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 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#: .2MitAS <br /> PW Permit Required? il YES 0 NO W.O.#: NI <br /> Notes: s-ec,C, f1iP/►1 aft,t✓ f ) 12 Associated Bldg./PW Permit#: /0/000i^O4 <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 /> 14 NO <br /> Explanation: FIRE ea:: — Ito Arah 5 <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: list/ de FIRE SERVICE: <br /> EYES—Amount$ 70 v• ❑YES—Amount$ <br /> Meter Only, 0 Complete Service, Size "(1/11 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO I4-NO <br /> Explanation: Explanation: <br /> 611gRPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> 611'Water Department Cost Estimate Needed-Of yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> E YES—Amount$ .° af New 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$ gq6. Q—° 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: 1463 IA (no .rat-I-) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> RYES—Amount$ WOO.CIC 0 See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REWIRED? (If yes(new assigned address), print oyt Agdrr sss etter fr m TRAKiT Print NJgn and include) <br /> U(YES—TYPE 78tort Onl (See Attached Letter akji "y - ,. `{Q, ;i,_ �/B 4/Lf�t <br /> ❑ NO N$CA�1 .j J tak' - <br /> AO <br /> PW Reviewer: ,..„(41,64/4 <br /> Date: W <br /> G/ 45zi- <br /> REVISED 10/11/2016 <br />