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147- • PUBLIC WORKS S <br /> REVIEW WORKSHEET �((70I-® J?- <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: $30.7"- 5TH AVE W (roWt1homE, # q of /3) <br /> DESCRIPTION OF WORK: PW SITE FOR NEW 13 UNIT TOWNHOMES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> , NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET&SEVALA <br /> ADDRESS: 1205 130TH ST SE UNIT A ADDRESS: 1205 130TH ST SE UNIT A <br /> EVERETT,WA,98208 EVERETT,WA,98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> EMAIL: KULAGA_A@HOTMAIL.COM EMAIL: KULAGA A@HOTMAIL.COM <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: WELAYE MAHER <br /> PHONE: 2068160455 <br /> • EMAIL: maherwelaye©gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?isr YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> fw ota- c�ti1 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> , YES—Type IS VD (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 NO <br /> Explanation: FlIft, eo4?. <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE; <br /> Dc <br /> YES—Amount$ sue. — g 0 YES—Amount$ <br /> rtMeter Only, 0 Complete Service,Size I. 0 3/"Detect Meter Only, ❑ Fire Service Size <br /> ❑ NO VINO <br /> Explanation: S£f> ` QED SPI eilDSHems' Explanation: <br /> N f-D RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N(g'I 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 /> Ell YES—Amount$ g New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: S A'►1hef sD sPK Ham' <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 4%(A`J 0- <br /> DSI YES—Amount$ ^" ❑ See Attached Spreadsheet <br /> ❑ NO—No Chtyrif Use/Other / <br /> Explanation: .�Q S: 6F. 4001 11E. AEE. FITTPWieb SW—WOW) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ !260, 0 See Attached Spreadsheet <br /> ❑NO ON SeffiVrIF., FW pEgml'I` <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), pript oss Letter fro T KiT Pr'nt en and in�� � <br /> AYES—TYPE 'I'8tt9 RtIftryn *See Attached Letter—,{'{rd fay"�� <br /> ❑ NO GDed� A't ► 7a cl gmhs <br /> PW Reviewer: As.* <br /> Date: �ql�REVISED 10/11/2016 1r <br />