1925 78TH PL SE 2017-06-29 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 Permit#: C1603-015 PROJECT ADDRESS: 1925 78TH PL SE LOT 9 DESCRIPTION OF WORK: NEW TOWNHOUSE (MARION 1816) �w l��j -- (,��Jj 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: STEVESNYDER PHONE: 4253190122 EMAIL: MATTR@SEAPACHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required?,�YES ❑ NO W.O.#: Notes: Associated BIdg./PW Permit#: FIRE SPRINKLER REQUIRED? (bv Fire DepartmenUCode) �'YES—Type /.�� (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$ S�Ci ,� ❑YES—Amount$ �$'Meter Only, ❑ Complete Service, Size � ❑3/4" Detect Meter Only, ❑ Fire Service Size ❑ NO ❑ NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? �(YES—Amount$ ��j�� ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? �e�/� � ,�YES—Amount$ 7�4.:� ❑ See Attached Spreadsheet ❑ 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� .�Li,��y f�i� ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) � YES—TYPE .Sr.� j�See Attached Letter NO Puhlic Works Reviewer Signature Date REVISED 2/24/2016