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Ojerr PUBLIC WORKS <br /> REVIEW WORKSHEET • <br /> 18105�211 <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS; SOS 5TH AVE W ownhemE, .4# 3 ©F 1> <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@HOTMAIL.COM EMAIL: KULAGA A@HOTMAIL.COM <br /> CONTACT: 0 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? YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: .i+7o1—o/0 <br /> P1&J pit-010 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> AYES—Type 1'3 t' I (If yes, add to TRAKIT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO <br /> E❑xplaanation: Fla- Cbd <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: � FIRE SERVICE: <br /> i YES—Amount$ .5466 —" ?/� 0 YES—Amount$ <br /> 15Meter Only, 0 Complete Service,Size / 0 3 "Detect Meter Only, 0 Fire Service Size <br /> ❑ NO UT <br /> Explanation: °SFifi MnietiSb SPQERDStiUr Explanation: <br /> N ln-❑RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N fg'❑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 /> 1 YES—Amount$ ....EA. lk New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: 3 A1TALHfSD sPj2 Nm' <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? O/�, <br /> KYES—Amount$ ar.Wft:a° 0 See Attached Spreadsheet <br /> ❑ NO—No Change .f Use/Other <br /> l / <br /> Explanation: (4 S 4. '1 Lr1 1Orm S`tl E, (SEE. filniCkeA' 2F4DSOt 1, <br /> • <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ /200,Zi 0 See Attached Spreadsheet <br /> ❑NO 4 ON Sertkk E, Pa) Me.mrr <br /> ADDRESS LETTE�tREQUIRED? (If yes (new assigned address),print o� ssL�r fro�T Pri t M n and include) <br /> OYES—TYPE MfiOYAS $(See Attached Letter... <br /> PW Reviewer: je L 1(f�C�. v ,J Date: n(�q/jq, <br /> REVISED 10/11/2016 <br />