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04.7 • PUBLIC WORKS <br /> REVIEW WORKSHEET (A,cg� ' <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: g3 15 5TH AVE W (1OumhomE .# /R oie 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: ❑ Owner ❑ Applicant DOther <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 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: 017-0/—'04 <br /> • <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 /> NO <br /> E❑xplaanation: Cod E, <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 06 FIRE SERVICE: <br /> YES—Amount$ `YJ 'rv (y� ❑YES—Amount$ <br /> 11fMeter Only, 0 Complete Service, Size III ❑Y"Detect Meter Only, 0 Fire Service Size <br /> ❑ NO scfNO <br /> Explanation: See, 4-7l73CNED SPPBR"OSri&€r Explanation: <br /> N f I1-❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ,g'❑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? f <br /> Ei YES—Amount$ 70. 116 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: 3 firrheif£a 8 egvfmsfleer <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? II I4 <br /> is YES—Amount$ �* 00 �"" ❑See Attached Spreadsheet <br /> Er NO—No Chap�e' .Jse/Others" <br /> Explanation: t _ls,:F' -{ tlrte IE t S£E lQij9CkEp SP1erdlO `i1 <br /> • <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ I2OO,°s 0 See Attached Spreadsheet <br /> ❑ NO ON SEP/9-VrF. Pa) Munn <br /> - <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address etter fro T KiT rint M land include) y <br /> AYES—TYPE ImoYtHOY) See Attached Letter Z ' Q a� /"�//2"4ni <br /> 0 NO <br /> PW Reviewer: Asc...4. Date: ,z/q/jr <br /> REVISED 10/11/2016 /l``tt I <br />