1927 78TH PL SE 2017-06-30 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 Permit#: C1603-014 PROJECT ADDRESS: 1927 78TH PL SE LOT 8 DESCRIPTION OF WORK: NEW TOWNHOUSE (RAMSEY 2435) ��'�/� � � CJ,� —� ��1 Z 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? (by Fire DepartmenUCode) JSJ 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$ ,.�lc�C� �l ❑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? �� I'$YES—Amount$ �G �" ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENTFEE? J�YES—Amount$ j�/� ❑ See Attached Spreadsheet ��'3'3 ❑ NO—No Change of Use/Other Explanation: (Note:Public Vl/orks Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑ YES—Amount$ ❑ See Attached Spreadsheet �N� A �,��y �<;d ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) �YES—TYPE S'�'�' �See Attached Letter ❑ NO �,�/ � O � ._�r � -.Z / -� � Public Works Revie er Siqnature Date REVISED Z/24/2016