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472" PUBLIC WORKS <br /> REVIEW WORKSHEET 411/ <br /> 1-F40 0(S <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24/2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: $325 5TH AVE W ETournhomE, # '- of 13) <br /> DESCRIPTION OF WORK: PW SITE FOR NEW 13 UNIT TOWNHOMES <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> , NAME: KULAGA AHMET&SEVALA NAME: KULAGA AHMET&SEVALA <br /> ADDRESS: 1205 130TH ST SE UNIT A ADDRESS: 1205 130TH ST SE UNIT A <br /> EVERETT,WA,98208 EVERETT,WA,98208 <br /> PHONE: 4255016441 PHONE: 4255016441 <br /> EMAIL: KULAGA A@HOTMAIL.COM EMAIL: KULAGA A@HOTMAIL.COM <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: WELAYE MAHER <br /> PHONE: 2068160455 <br /> • EMAIL: maherwelaye@gmail.com <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?ig YES 0 NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: a/7-0/—0MM <br /> FIRE SPRINKLER REQUIRED?(by Fire Department/Code) <br /> ,BYES—Type 13 D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> NO <br /> E❑xplaanation: firE, eQ z <br /> (Note:Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? Df <br /> DOMESTIC SERVICE: �gZ FIRE SERVICE: <br /> DYES—Amount$—5-6Cejb El YES—Amount$ <br /> II Meter Only, 0 Complete Service,Size in ❑W Detect Meter Only, ❑Fire Service Size <br /> ❑ NO VINO <br /> Explanation: Stf. &j]WCH£D SP213AbSt1e€T Explanation: <br /> NIA-0 RPBA Needed at premise?-(Plumbing permit for backflow 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 /> 1I YES—Amount$ 16. New Connection, 0 Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: 3' A177 i H€D cSPKUDSfIc r <br /> Existing Utility Permit#(if applicable): • <br /> SYSTEM DEVELOPMENT FEE? gt(o2R <br /> kl YES—Amount$ 0 See Attached Spreadsheet <br /> ❑ NO—No Ch n .sf Use/Other <br /> Explanation: S.f: -{Iramheon1E, Cs - FirriteNeb` 'SPi2Ef9ASNtr • <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ /200. ❑See Attached Spreadsheet <br /> ❑NO 4 ON SEPHR„arE- P(N PEK.oiii— <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRA iT Prin M n and include) <br /> 1�'YES—TYPE 'r81�N-HOPIS See Attached Letter —lppt ZE pA1S CO. S G1.�,1 /ai11WVt lv W/9w/7 <br /> 0 NO <br /> PW Reviewer: ..e3scl Date: ziq/�g <br /> REVISED 10/11/2016 J I <br />