1915 78TH PL SE 2017-06-29 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 Permit#: C1603-019 PROJECT ADDRESS: 1915 78TH PL SE LOT 13 DESCRIPTION OF WORK: NEW TOWNHOUSE (MARION 1816) ,�W I(OC� " G� 7 7 CONTACT INFORMATION: OWNER: APPLICANT: NAME: ALPINE HEIGHTS DEVELOPMENT NAME: [AppName] ADDRESS: 120 SW EVERETT MALL WAY SUITE ADDRESS: [AppAdd] EVERETT,WA, 98204 [AppCi], [AppSt], [AppZip] PHONE: PHONE: [AppPhone] EMAIL: EMAIL: [AppEmail] CONTACT: ❑ Owner ❑ Applicant ❑Other NAME: STEVE SNYDER PHONE: 4253190122 EMAIL: MATTR@SEAPACHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? � YES ❑ NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED? (by Fire DepartmenUCode) ,�fYES—Type i3 �� (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) ❑ NO Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑YES—Amount$ .�la O �� ❑YES—Amount$ ,�1 Meter Only, ❑ Complete Service, Size � ❑3/4" Detect Meter Only, ❑ Fire Service Size ❑ NO ❑ NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? ��, j�YES—Amount$ 7� — ❑ New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENTFEE? �'YES—Amount$ �i4,Z ❑ See Attached Spreadsheet � `3�(p ❑ NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add 7raffic Mitrgation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES—Amount$ ❑ See Attached Spreadsheet �N� f�cti�1 ciLr�c� ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) J��YES—TYPE S`f �' ,�See Attached Letter ❑ NO �—f'(2u: ' c+-z-�� .J�.�/ —�� Public Works Reviewer Signature Date REVISED 2/24/2016