2006 78TH PL SE 2017-08-22 - Laserfiche WebLink

• PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3125/2016 Permit#: C1603-064 PROJECT ADDRESS: 2006 78TH PL SE LOT 37 DESCRIPTION OF WORK: NEW TOWNHOUSE (RAMSEY 2435) JI'l.Jlbo�f— v �1 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#: FI E SPRINKLER REQUIRED? by Fire Department/Code) YES—Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) INO Explanation: (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) WATER FEES? J� DOMESTIC SERVICE: jT/.2G FIRE SERVICE: 5-o ❑ YES—Amount$ / I> ❑ 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? W ES—Amount$ ❑ New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? jor ES—Amount$ 11 Va ❑ See Attached Spreadsheet ❑ NO—No Change of Ae/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? RES—Amount ___,,, ❑ See Attached Spreadsheet ADDRESS LETTERREQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) YYES—TYPE .R O(See Attached Letter tNO hv,/ G Publfc s Reviewer Signature f Date REVISED 2/24/2016