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lArrPUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/11/2017 <br /> Permit#: C1707-011 <br /> PROJECT ADDRESS: 2222 112TH PLACE SE <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE-UNIT 5 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: <br /> CONTACT: ❑ 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#: Slrl1I 06-008` <br /> PW Permit Required?E(YES 0 NO W.O.#: N11+ <br /> Notes: Cts w,c M sft, Associated Bldg./PW Permit#: r WL Iv Oilff <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 /> gNO <br /> Explanation: FIRE' erte— /to Seink&A <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$ �80.(22- /i 0 YES—Amount$ <br /> El Meter Only, 0 Complete Service, Size /y 0%" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO jl�'NO <br /> Explanation: Explanation: <br /> u�AF RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> Nla 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$ ° lid New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> OYES—Amount$ 3;7-q 6► to 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: ISoq (ft0 c 4i <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> EYES—Amount$ 0100.0- 0 See Attached Spreadsheet <br /> 0N <br /> ADDRESS LETTER REQU)RED? (Ifyes(new assigned address), prin�t ouAt�ddress etter from TRAKiT Print Menu and include) <br /> )1i YES—TYPE " Nf1 1?1 r�See Attached Letter e.d7uc`�'l Q��� I I * 61.D6 PfArter <br /> O NO <br /> °\.scou►. -$o clqi-reai fll 44(1 <br /> PW Reviewer: jeci,atit „Auth/uDate: 002 zog— <br /> REVISED 10/11/2016 <br />