Laserfiche WebLink
UBLIC WORKS REQUEST <br />FOR WATER DEPARTMENT COST ESTIMATE <br />(ATTACH 1 WATER PLAN FOR REFERENCE) Date Request Sent: 12/21/2018 <br />Associated Permit #: PW1804-004 <br />PROJECT ADDRESS: 1020 N BROADWAY <br />DESCRIPTION OF WORK: SITE WORK FOR 140 UNIT STUDENT HOUSING OVER RETAIL, PARKI G.� <br />CONTACT INFORMATION: ,�W <br />OWNER: APPLICANT: I <br />NAME: KOZ ON N BROADWAY LLC NAME: KOZ DEVELOPMENT LLC <br />ADDRESS: 1830'BICKFORD AVE UNIT 201 ADDRESS: <br />SNOHOMISH, WA, 98290 , <br />PHONE: 2064222990 <br />PHONE: <br />2064222990 <br />EMAIL: jason@kozdevelopment.com <br />EMAIL: <br />jason@kozdevelopment.com <br />CONTRACTOR: <br />CONTACT: <br />❑ Owner, ❑ Applicant, ❑Other <br />NAME: TBD <br />NAME: <br />JASON ANDERSEN <br />ADDRESS: <br />PHONE: <br />2064222990 <br />> <br />EMAIL: <br />jason@kozdevelopment.com <br />PHONE: <br />EMAIL: <br />REQUEST FROM PUBLIC WORKS REVIEWER: <br />COST ESTIMATE REQUESTED BY: <br />c ✓ <br />COST ESTIMATE REQUESTED FOR: SSt,DE9W Pn0t <br />❑ CITY CREWS TO MAKE NEW CONNECTION TO MAIN <br />■ # OF CONNECTIONS NEEDED: <br />p qr <br />■ TYPE OF CONNECTION: b f I On, 1 ti�i <br />�r - <br />■ SIZE OF CONNECTION: <br />j1 <br />■ SIZE OF MAIN: <br />❑ CITY CREWS TO INSTALL PIPE FROM MAIN TO BACK SIDE OF METER <br />• EXCAVATE, SHORE, AND RESTORE BY: CONTRACTOR, ❑ CITY CREWS <br />• TRAFFIC CONTROL BY: CONTRACTOR, ❑ CITY CREWS <br />• INSTALLATION AND PIPE THROUGH VAULT BY: CONTRACTOR, ❑ CITY CREWS <br />OTHER DESCRIPTION OR REQUEST: <br />t <br />