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I 41577 PUBLIC WORKS <br /> REVIEW WORKSHEET • <br /> 6'O9-016 <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: $305 5TH AVE W tfournhomE . a (Pr /> <br /> DESCRIPTION OF WORK: PW SITE FOR NEW 13 UNIT TOWNHOMES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET&SEVALA <br /> ADDRESS: 1205 130TH ST SE UNIT A ADDRESS: 1205 130TH ST SE UNIT A <br /> EVERETT,WA, 98208 EVERETT,WA,98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> EMAIL: KULAGA_A@HOTMAILCOM EMAIL: KULAGA_A@HOTMAILCOM <br /> CONTACT: ❑ Owner 0 Applicant ❑Other <br /> NAME: WELAYE MAHER <br /> PHONE: 2068160455 <br /> EMAIL: maherwelaye@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?ig YES 0 NO W.O.#:Notes: Associated Bldg./PW Permit#: Cmv-op'7n, <br /> PW1 oa—OOd <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> 171 YES—Type 1'3'U (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO <br /> E❑xplaanation: firE.. 44 E. <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 06� FIRE SERVICE: <br /> YES—Amount$ "� n 0 YES—Amount$ <br /> IIfMeter Only, 0 Complete Service, Size I 0 3/4"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO itr NO <br /> Explanation: Ski moist smeeDSF1&ifr '' Explanation: <br /> NIP-0 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> g IRO 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? J <br /> 1i YES—Amount$ 70. 174 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: SToe, 11717WW> 8PaOttSlfeW <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> 14 YES—Amount$ - ��� See Attached Spreadsheet <br /> ❑ NO—No Chan le of Use/Other <br /> Explanation: 2-S f 4awnblemE1 (SEE, Fornmeb SP12EAflsiiE > <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ /200,02 ❑ See Attached Spreadsheet <br /> ❑ NO <br /> ADDRESS LETTER REQUIRED? (If yes(new assigned address), print out Addr s Letterfrom RA 'T Print Mequ d income) <br /> AYES—TYPE " 1�)t fl4OYY1i✓ 'See Attached Letter_A tcert6❑ NO 1.op ll certi ACetil J§fry A <br /> 2 PW Reviewer: Date: 17//� <br /> REVISED 10/11/2016 I <br />