Laserfiche WebLink
/', PUBLIC WORKS _--= - = = A, 6REVIEW WORKSHEET <br /> 4 (ATTACH 1 SITE PLAN FOR REVIEW) Date: 2/24 2016 <br /> Permit#: PW1602-048 <br /> PROJECT ADDRESS: 8307 5TH AVE W <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 0 Applicant 'Otherr( Ne- <br /> NAME: WELAYE MAHER ,�,, ' <br /> PHONE: 2068160455 TvR Kew S I@t\t OTAY CA S f <br /> EMAIL: maherwelaye@gmail.com '' AND PRY rilarr. <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? ❑ YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED?(by Fire Departm t/Code) <br /> EYES-Type OD y ,add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp I awings) <br /> NO <br /> ❑xpla Explanation: FtR E cot Al'' ---k- (tu/ blii4 Ptvt rk1 kytAinii <br /> (Note:Counter Staff to Create Utility P ' for any Water/Sewer/System Develpp merit Fees) <br /> WATER FEES? * MTh 5 � <br /> DOMESTIC SERVICE:5SZ i to FIRE SERVICE: <br /> NI YES-Amount$ 566it x f 3 anit �� S-�71'f a.�,S' ' ' •❑YES Amount$ <br /> OMeter Only, 0 Comple etService, Size / • 0 / Detect Meter Only, 0 Fire Service Size <br /> ❑ <br /> ( ((-D It Hi NO <br /> Explanation: ID Mir Explanation: <br /> o-r. -!2- 7-0/6dh J kr Spoon • --(,) � Alan j1T. <br /> El ater Departmen o stima a eeded-(lf yes, PW Reviewer to send cost estimbte request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> X YES-Amount$70.= )(6 Wilt lif New Conn ction ❑ Iteration/Repair, IDCa -off/Reconnect <br /> ❑ NO 3 E - <br /> Explanation: � ms W ��9frirmils <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> li[YES-Amount$ 0 See Attached Spreadsheet <br /> ❑ NO-No Change of Use/Other * 4&iWilliat VrtAITYR-k <br /> Explanation: b i/J/& N Peking- 1 'eitt sjt i i 1'SS1f cp (at Gl h/k IaA) <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) Q1` <br /> TRAFFIC MITIGATION FEE? 4( V) Dl& , <br /> $(YES-Amount$ IS 600 See Attached Fin � � , 2 lOr!'f' <br /> ❑ NO -9vn1 SEP/i/S'-cot. <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> EYES-TYPES 0 See Attached Letter❑ NO 1k// 8LD U >� .'J'lvl� - /REV/oil.( i iSSL/rnV c 6 ( a -��t. IAA) <br /> x,b-th1,4- alirat 3uiL ,& /0 -6'- 20/6 <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />