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• PUBLIC WORKS <br /> REVIEW WORKSHEET 411 <br /> 80 5-6 <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: $3 13 5TH AVE W (TOWnhOmE, -# /3 of (> <br /> DESCRIPTION OF WORK: PW SITE FOR NEW 13 UNIT TOWNHOMES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> , NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET&SEVALA <br /> ADDRESS: 1205 130TH ST SE UNIT A ADDRESS: 1205 130TH ST SE UNIT A <br /> EVERETT,WA,98208 EVERETT,WA,98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> EMAIL: KULAGA A@HOTMAIL.COM EMAIL: KULAGA A@HOTMAIL.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: WELAYE MAHER <br /> PHONE: 2068160455 <br /> EMAIL: maherwelaye@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?ig YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: C/7-O/O ?O <br /> �wl�a-020 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> krYES—Type (`3'D (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ExNO <br /> plaanation: Fla-- COG <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: FIRE SERVICE: <br /> I /YES—Amount$ SS/ 631- I j52 n El YES—Amount$ <br /> IS Meter Only, 0 Complete Service, Size I 0 W Detect Meter Only, 0 Fire Service Size <br /> ❑ NO VINO <br /> Explanation: S,E, 74.7 ICHED .PRE D HEAr 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 /> (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 /> 14 YES—Amount$ �. New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: 3sr t✓ fi1'i19t',Fft;,p Pk f1 Vr <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? c a(p <br /> ti YES—Amount$ - 0 See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other <br /> Explanation: t/1 :I<: -fbtarthon1E, see, AT PICI4 SP4efi&ci(Fi€ <br /> • <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ 1260, 0 See Attached Spreadsheet <br /> ❑ NO 4 ON S'i✓PRR,fi t 1W PER.fiiT <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter <br /> NO/ from T KiT ri Menu and in ud ) <br /> 'YES—TYPE)) J0111✓ *See Attached Letter __4pe� , reCry r l y <br /> ❑ — � (P1 <br /> Cary c�(!E �� <br /> PW Reviewer: As.* <br /> Date: nig/jq, <br /> REVISED 10/11/2016 L( I(!! <br />