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477 PUBLIC WORKS <br /> REVIEW WORKSHEET • <br /> U. t gOS <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: 35I9 5TH AVE W E7 urnhemE, /0 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@HOTMAILCOM EMAIL: KULAGA A@HOTMAIL.COM <br /> CONTACT: 0 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?k(YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: /O/-'V, <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> AYES—Type /3'D (If yes,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 NO <br /> Explanation: Firt— &4 <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: �/ p FIRE SERVICE: <br /> [ YES—Amount$ .°'i D?d9 CIYES—Amount$ <br /> lg Meter Only, ❑ Complete Service,Size Ire 0%"Detect Meter Only,. 0 Fire Service Size <br /> ❑ NO VINO <br /> Explanation: S£fi ff mcl!£b SPkEA'bSl!>%8T` Explanation: <br /> WIN-0 RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> N!8'❑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 /> 11 YES—Amount$ �. 14 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: S' Mrlit}i€D sP12>" He. 1'" <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? p, <br /> 14 YES—Amount$ "a° `WV'3" 0 See Attached Spreadsheet <br /> ❑ NO—No Chafge1 oj'Use/Other <br /> . I Explanation: f .3.f. 4tttirthoint, (SEC AITpoet) ;spezerosti <br /> • <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES Amount$ taO0.N ❑ See Attached Spreadsheet <br /> ❑ NO y ON Seir-CIE, PW PERJtt IT <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter fro TR KiT Pri t M n and include) <br /> ''YES—TYPE ,JH0Th& *See Attached Letter —4p � Q Q -E lia rP0 NO <br /> Go <br /> --tereet, lerte corj Atm 1-6 if-rey <br /> PW Reviewer: JCJ v4 Date: ez.1 /j� <br /> REVISED 10/11/2016 1(! <br />