Laserfiche WebLink
0477. i PUBLIC WORKS • <br /> REVIEW WORKSHEET140�✓Ul� <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> p Permit#: PW1602-048 <br /> PROJECT ADDRESS: $32 J 5TH AVE W erOW11hemE, / of 1> <br /> DESCRIPTION OF WORK: PW SITE FOR NEW 13 UNIT TOWNHOMES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET&SEVALA <br /> ADDRESS: 1205 130TH ST SE UNIT A ADDRESS: 1205 130TH ST SE UNIT A <br /> EVERETT,WA,98208 EVERETT,WA,98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> EMAIL: KULAGA A@HOTMAIL.COM EMAIL: KULAGA A@HOTMAIL.COM <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: WELAYE MAHER <br /> PHONE: 20681 60455 <br /> EMAIL: maherwelaye@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?1 YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: `i/70/Q/1 <br /> PW[ oa—oI6 <br /> FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br /> AYES—Type 13'D (If yes,add to TRAKIT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 NO <br /> Explanation: eta F. <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> . WATER FEES? O•,_0f <br /> DOMESTIC SERVICE: ,Oast/ FIRE SERVICE: <br /> I. YES—Amount$ , 0 YES—Amount$ <br /> la Meter Only, 0 Complete Service, Size / 0 3/" Detect Meter Only, 0 Fire Service Size <br /> ❑ NO VINO <br /> Explanation: SF€ Arilmchlbb SPkI HDSHEET- Explanation: <br /> N IR❑ RPBA Needed at premise?-(Plumbing permit for back-flow device needed due to High-Hazard Site per Tim Markham's review) <br /> N IRO 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$ 70. lg New Connection, ❑Alteration/Repair, ❑Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: 3zE f mite fFA seiz 1Eer <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> K YES—Amount$ aroTir, 11 Pr ❑ See Attached Spreadsheet <br /> ❑ NO—No Clue of Use/Other // <br /> Explanation: ZS:F * &n'hexmE, ('S£e, Armen et) "SP1e :wsliver) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 0 YES—Amount$ /200. 0 See Attached Spreadsheet <br /> ❑ NO 1? ON Si✓P1`tK,flt PW Pee—Our <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from// T iT Pri t e and include) <br /> 1�'YES—TYPE It )l�i'HOY1 See Attached Letter --/�p !to4biS OJJER / r to PIO,/L,0 <br /> ❑ NO -- tert+t e,Fn y ,,2cm 76 cJ> � Inait c1e <br /> PW Reviewer: ,J i fDate: ez iN„, J <br /> REVISED 10/11/2016 L( I t <br />