2005 78TH PL SE 2017-08-22 - Laserfiche WebLink

PUBLIC WORKS a REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/10/2016 Permit#: C1603-011 PROJECT ADDRESS: 2005 78TH PL SE LOT 5 DESCRIPTION OF WORK: NEW TOWNHOUSE (MARION 1816) W /as C� 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: MATTR@SEAPACHOMES.COM COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: PW Permit Required? ;A YES ❑ NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED? (by Fire Department/Code) 01 YES-Type 13 l7 (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$ -56 ❑ YES-Amount$ .0 Meter Only, ❑ Complete Service, Size / ❑'W' 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? VO j YES-Amount$ 7o — ❑ New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? YES-Amount$ 79612- ❑ See Attached Spreadsheet 8 (D ❑ 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 ')I NO �Ctid ctlre�dJ ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) JO YES-TYPE SF K X See Attached Letter ❑ NO -2 Public Public Works Reviewer Signatilre Date REVISED 2/24/2016