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0477 • PUBLIC WORKS "� <br /> REVIEW WORKSHEET U tg0�'0lt <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: $3 I 1 5TH AVE W EToumhomE, -* ( of 13) <br /> DESCRIPTION OF WORK: PW SITE FOR NEW 13 UNIT TOWNHOMES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> , NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET&SEVALA <br /> ADDRESS: 1205 130TH ST SE UNIT A ADDRESS: 1205 130TH ST SE UNIT A <br /> EVERETT,WA,98208 EVERETT,WA,98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> EMAIL: KULAGA A@HOTMAIL.COM • EMAIL: KULAGA A@HOTMAIL.COM <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: WELAYE MAHER <br /> PHONE: 2068160455 <br /> EMAIL: maherwelaye@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?ig YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/7-0/--0/3 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> YES—Type /3 T;) I (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO <br /> E❑xplaanation: Fin- Cod z <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 0h FIRE SERVICE: <br /> EYES—Amount$ " ��(/ 0 YES—Amount$ <br /> I5Meter Only, 0 Complete Service, Size /n ❑3/"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO 'gf NO <br /> Explanation: SF.€, fH1AC1£D SPkEADSti&er Explanation: <br /> N(R❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> I (A❑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 /> VI YES—Amount$ 111 124 New Connection, ❑Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: 3 A TAega. sP12 HE£r <br /> Existing Utility Permit#(if applicable): <br /> 80 <br /> SYSTEM DEVELOPMENT FEE? <br /> ct W <br /> $l YES—Amount$ ' W 0 See Attached Spreadsheet <br /> ❑ NO—No Chan•e of Use/Other <br /> r) // <br /> Explanation: `-, S:F ,'bWflhom€, CSE 19J11'iCkl t 1 6'?IFi€t) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 120(L 0 See Attached Spreadsheet <br /> 0 NO 4 0/4 s ri'i- aIE- PW PEK111Ir <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print o qtt Address Letter fro TRAKiT Pr nt en arid include) <br /> EYES—TYPE 1 O)I J HOYn� See Attached Letter --� �a Wyk Gt�� .` ' t-W Pf/Lln1 <br /> rejPW Reviewer: /der <br /> Date: 2/7/ , <br /> REVISED 10/11/2016 I(t <br />