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grr • PUBLIC WORKS <br /> REVIEW WORKSHEET da (%tiGf-OI(g <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: 33a3 6TH AVE W L`T0umhOmE, g 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: 0 Owner ❑ Applicant ['Other <br /> NAME: WELAYE MAHER <br /> PHONE: 2068160455 <br /> EMAIL: maherwelaye@gmaii.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?.15(YES 0 NO W.O.#: <br /> Notes: Associated Bldg,/PW Permit#: C//O/-0/S <br /> 0/0 1 a-QI5 <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> YES—Type ►`3 17 (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> 0 NO <br /> Explanation: firE, 1G F. <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$ D.— S . „ 0 YES—Amount$ <br /> 15Meter Only, 0 Complete Service, Size I 0 3/"Detect Meter Only, ❑ Fire Service Size <br /> ❑ NO VINO <br /> Explanation: SFi€, £b SPIZEH sl'&€r Explanation: <br /> N 1Ir-D RPBA Needed at premise?-(Plumbing permit for back-flow device needed due to High-Hazard Site per Tim Markham's review) <br /> f8'o Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? f <br /> E YES—Amount$ O, 14 New Connection, 0 Alteration/Repair, 0 Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: 3W ATTA''M.ED egrAt6HeEr <br /> Existing Utility Permit#(if applicable): <br /> �S,,{YSTEM DEVELOPMENT FEE? *fig <br /> YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Change Af Use/Others" <br /> Explanation: {® S:F -IaWflhom€, (see. RnmeA SPl2F.ft'S?lvei) <br /> • <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> El YES—Amount$ /200, 0 See Attached Spreadsheet <br /> ❑ NO ©N s rnR,fti Fro PERO1-r <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Addres Letter from TRAKIT Print e d include) <br /> 'YES—TYPE 'r81)►JfloTht *See Attached Letter — • - Q�l�Od a� li�I {6 Pj obit nM <br /> ❑ NO I 00 10 V€ ay fit I <br /> PW Reviewer: ,e Date: n�Vig, <br /> REVISED 10/11/2016 !i( (! <br />