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• PUBLIC WORKS • <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/25/2016 <br /> Permit#: C1603-060 <br /> PROJECT ADDRESS: 1926 78TH PL SE LOT 33 <br /> DESCRIPTION OF WORK: NEW TOWNHOUSE(RAMSEY 2435) <br /> D3 <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: STEVE.S@SEAPACHOMES.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required?,o YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: <br /> FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br /> AYES-Type A32) (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: /f�2c'yS Qr_ <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: an FIRE SERVICE: <br /> U'YES-Amount$ -5-&� ��m T ❑ YES-Amount$ <br /> XMeter Only, ❑ Complete Service, Size ❑%" Detect Meter Only, ❑ Fire Service Size <br /> ❑ NO 2.10 <br /> Explanation: Explanation: <br /> ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit# (if applicable): <br /> SEWER FEE? U <br /> AYES-Amount$ 70 ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit# (if applicable): <br /> SYSTEM DEVELOPMENT FEE? , <br /> c�vSC, Si Z2_ E435 <br /> A'YES-Amount$ V&0 ❑ See Attached Spreadsheet �� <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 /> ANO <br /> plf /'j c.✓�OG�Srf�es <br /> ADDRESS LETTER REQUIRED? (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> %YES-TYPE �rZ ,I�See Attached Letter <br /> ❑ NO <br /> Public Works Reviewer Signature Date <br /> REVISED 2/24/2016 <br />