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047T 411, PUBLIC WORKS S <br /> REVIEW WORKSHEET ($dr 00 <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: '630 q 5TH AVE W CTournhomE . # 5 of !> <br /> DESCRIPTION OF WORK: PW SITE FOR NEW 13 UNIT TOWNHOMES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> . NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET&SEVALA <br /> ADDRESS: 1205 130TH ST SE UNIT A ADDRESS: 1205 130TH ST SE UNIT A <br /> EVERETT,WA,98208 EVERETT,WA, 98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> EMAIL: KULAGA_A@HOTMAIL.COM EMAIL: KULAGA_A@HOTMAIL.COM <br /> CONTACT: ❑ Owner 0 Applicant ❑Other <br /> NAME: WELAYE MAHER <br /> PHONE: 2068160455 <br /> EMAIL: maherwelaye@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?.i YES 0 NO W.O.#:Notes: Associated Bldg./PW Permit#: C./70t1 --0Q <br /> f60L'-oa—oI' <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> MYES—Type 13'D (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO <br /> E❑xplaanation: C.ed F, <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: Q FIRE SERVICE: <br /> "YES—Amount$ �: 5 07i"^ 0 YES—Amount$ <br /> IIfMeter Only, ❑ Complete Service, Size n <br /> y p � 0 3/"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO gi NO <br /> Explanation: SF.€ MOM) SPIQt;ebstH&€T Explanation: <br /> N(P-D RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N fp'❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> 1l YES—Amount$ 184 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: SZe f11'rA'GftD sP121 HeEr <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? Q��)O' <br /> Y11 YES—Amount$ , Q° ❑See Attached Spreadsheet <br /> ❑ NO—No Chan e of Use/Other <br /> Explanation: (W. S.f: "ftWtihoit1'E, (See- Rrrh i1 b Sl12EA Sfftsi) <br /> • <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 1200, ❑See Attached Spreadsheet <br /> El NO 4 ON Sr rHRfIT£ PW Pgi-nlrr <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter fro TRA T Prat_MeU <br /> ,� ad incl ) <br /> AYES—TYPE 1,0/JNOY11S *See Attached Letter_4p (_!,_ Q,�- y, � �C(�❑ NO J ryn�,� -06f&fil 1 GJ �,IfNUS" <br /> PW Reviewer: : (�G4_ Date: ,z/qJi„.. <br /> REVISED 10/11/2016 <br />