2001 78TH PL SE 2017-08-22 - Laserfiche WebLink

AOL PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 Permit#: C1603-013 PROJECT ADDRESS: 2001 78TH PL SE LOT 7 DESCRIPTION OF WORK: NEW TOWNHOUSE (RAMSEY 2435) n i 1 j��i 3 _ -7 /I 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?BI YES ❑ NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED? (by Fire Department/Code) 14 YES—Type 13 -0 (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$ J ❑YES—Amount$ ](Meter Only, ❑ Complete Service, Size ❑ %" Detect Meter Only, ❑ Fire Service Size ❑ NO ❑ NO Explanation: Explanation: ❑Water Department Cost Estimate Needed-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) Existing Utility Permit#(if applicable): SEWER FEE? CX A YES—Amount$ 70 El New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? )6 YES—Amount$ T`?I D ❑ See Attached Spreadsheet 2-4 3 S ❑ 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 t$ El See Attached Spreadsheet J4 NO 4Creu ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) .®YES—TYPE S F IZ See Attached Letter ❑ NO Public Works Reviewer Signature Date REVISED 2/24/2016