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PUBLIC WORKS <br />REVIEW WORKSHEET <br />(ATTACH 1 SITE PLAN FOR REVIEW) <br />PROJECT ADDRESS: 1918 98TH PL SW, <br />DESCRIPTION OF WORK: NEW SINGLE FAMILY RESIDENCE <br />CONTACT INFORMATION: <br />OWNER: <br />NAME: KATIE'S PROPERTIES LLC <br />ADDRESS: 10933 SE 186TH ST <br />RENTON, WA, 98055 <br />PHONE: <br />EMAIL: <br />CONTACT: ❑ Owner ❑ Applicant ❑Other <br />NAME: [ContactName] <br />PHONE: [ContactPhone] <br />EMAIL: [ContactEmail] <br />COMMENTS FROM PUBLIC WORKS REVIEWER: <br />PW Permit Required? ❑ YES ❑ NO <br />Notes: <br />APPLICANT: <br />NAME: <br />ADDRESS: <br />Date: <br />Permit #: <br />ROBERTILEE <br />3/31 /2017 <br />C1703-038 <br />f f <br />PHONE: 2062281510 <br />EMAIL: SHORTKKD@YAHOO.COM <br />LAND USE PROJECT #: <br />W.O. #: <br />Associated Bldg./PW Permit #: <br />FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br />❑ YES -Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br />XNO <br />Explanation: <br />(Note: Counter Staff to Create Utili Permit for any WaterlSewer/System Development Fees) <br />WATER FEES?{ <br />(lo -:� W0cr rstvhcv d {av' <br />DOMESTIC SERVICE; ftk (�i��(- '- 6 FIRE SERVICE. <br />YES - Amount $_ 6 ►� ���j t, ❑ YES - Amount $ <br />Meter Only, ❑ Co plete Service, Size 3�� v*✓' ❑'/" Detect Meter Only, ❑ Fire Service Size <br />❑ NO �a `"� O f XNO <br />Explanation:_ S (Y'rS' Dar c�£s planation: <br />RPBA Needed at premise?-(Plumbin ermit for backflow(tewce Heeded flue to High -Hazard Site per Tim Markham's review) <br />nc �et4skim- I- U'S�wGak t . <br />Water Department Cost Estimate Needes, �W Reviewer t9 send cct imate request to Water Department, attach copy) <br />Existing Utility Permit # (if applicable): � <br />SEWER FEE? <br />YES - Amount $_ New 1Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br />'Id NO <br />Explanation: JMueho fl;/- <br />Existing Utility Permit # (if applicable): <br />Amount $_ <br />No Change <br />nation: <br />?1 �ccs (",-V-Jew 1.1 l3 tj . ,D %a, <br />❑ See Attached Spreadsheet <br />D <br />(Note: Public Works Reviewer to Add Traffic Mitigation tcKPW Permit (if applicable)) <br />TRAFFIC MITIGATION FEE? �u� , PW 1-5aL[-• (905 <br />mount $ �7 See Attached Spreadsheet <br />NO <br />ADDRESS LETTER REQUIRED? If yes (new assigned address), printout Address LettpS from TRAKiT Print Menu and include) <br />14YES - TYPE .S F:k, -J*rr" See Attached Letter r 5*aA,'1V - E/U44&- <br />ONO <br />PW Reviewer: ��YIA � Date: <br />3 a�Jl <br />N=VIJCU 7V/77/LV70 <br />