1917 78TH PL SE 2017-06-29 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 Permit#: C1603-018 PROJECT ADDRESS: 1917 78TH PL SE LOT 12 DESCRIPTION OF WORK: NEW TOWNHOUSE(RAMSEY 2435) j�� '�C� ^ �7� r 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: STEVE.S@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? b Fire De artmenUCode YES—Type /3 .� (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$ Jr�i � C� ❑YES—Amount$ k�'Meter Only, ❑ Complete Service, Size ❑ 3/<" 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? �� �YES—Amount$ 7G — �ew Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? �-�} �YES—Amount$ /�%%[? ❑ See Attached Spreadsheet 2L�.3 C" `�� NO—No Change of Use/Other ✓ Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑YES—Amount$ ❑ See Attached Spreadsheet ��N O A��,;�:o/� /'�%c� ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) J�YES—TYPE 5�—� ,�'See Attached Letter ❑ NO _� C*TfZ�L— Publir. Works Revie er Signature Date REVISED 2/24/2016