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g77PUBLIC WORKS <br /> REVIEW WORKSHEET PW / C'3 - o (3 <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 <br /> Permit#: C1603-007 <br /> PROJECT ADDRESS: 2015 78TH PL SE LOT 1 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE (RAMSEY 2435) <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: [AppName] <br /> ADDRESS: 120 SW EVERETT MALL WAY SUITE ADDRESS: [AppAdd] <br /> EVERETT,WA, 98204 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> EMAIL: EMAIL: [AppEmail] <br /> CONTACT: 0 Owner 0 Applicant ❑Other <br /> NAME: STEVE SNYDER <br /> PHONE: 4253190122 <br /> EMAIL: STEVE.S@SEAPACHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? 0 YES 0 NO W.O.#: <br /> Notes: 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 /> ❑ NO <br /> Explanation: <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE:A Ov FIRE SERVICE: <br /> )1 YES–Amount$ .S� — ,/ ES–Amount$ <br /> RMeter Only, 0 Complete Service, Size / 0 3/4" Detect Meter Only, 0 Fire Service Size_ <br /> ❑ NO ❑ NO <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? p� pQ <br /> /0 YES–Amount$ 7c; 0 New Connection, 0 Alteration/Repair, El Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? 744 -s_ is <br /> .� fh��`y <br /> ❑YES–Amount$ 0 See Attached Spreadsheet <br /> NO–No Change of Use/Other r "ur7A A005C 446/ <br /> Explanation: <br /> Cwt def {or 4 hos oh ��7is <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> 'ES–Amoi 0 See Attached Spreadsheet <br /> NO Pcc r d c <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ❑YES–TYPE 0 See Attached Letter <br /> ❑ NO <br /> Public Works Re eviewer Signature Date <br /> REVISED 2/24/2016 <br />