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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 <br /> Permit#: C1603-020 <br /> PROJECT ADDRESS: 1913 78TH PL SE LOT 14 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE (MARION 1816) /��,{l �/�3 _��C} <br /> �� v�! b � <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: ❑ Owner ❑ Applicant ❑Other <br /> NAME: STEVE SNYDER <br /> PHONE: 4253190122 <br /> EMAIL: MATTR@SEAPACHOMES.COM <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? (bv Fire Department/Code) <br /> J�'YES—Type /,3 D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: �G'�iCJ�.S Z�D .C�'c�� <br /> (Note: Counter Staff to Create Utility Permit for any WatedSewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: �,� FIRE SERVICE: <br /> ❑YES—Amount$ S�C''� !/ ❑YES—Amount$ <br /> ,S�Meter Only, ❑ Complete Service, Size � ❑ 3/4' Detect Meter Only, ❑ Fire Service Size <br /> ❑ NO ❑ NO <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? ��� <br /> �'YES—Amount$ �Q ❑ New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> �YES—Amount$ ���L ❑ See Attached Spreadsheet ��j� <br /> ❑ NO—No Change of Use/Other <br /> Explanation: <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑YES—Amount$ ❑ See Attached Spreadsheet <br /> ❑ NO �� <br /> r-�r_�o' �1�i�c��y. <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ,$�YES—TYPE S, j-!L_ ❑ See Attached Letter <br /> ❑ NO <br /> `�����=��� �- 3� -/,b <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />