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0 PUBLIC WORKS <br /> ooiL REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/18/2016 <br /> Permit#: PW1610-025 <br /> PROJECT ADDRESS: 7809 19TH DR SE <br /> DESCRIPTION OF WORK: CONSTRUCT NEW TOWNHOUSE UNIT <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: ALPINE HEIGHTS DEVELOPMENT NAME: STEVE SNYDER <br /> ADDRESS: 120 SW EVERETT MALL WAY ST100 ADDRESS: 120 SW EVERETT MALL WAY <br /> EVERETT,WA, 98204 EVERETT,WA, 98204 <br /> PHONE: PHONE: 3609532800 <br /> EMAIL: EMAIL: MATTR@SEAPACHOMES.COM <br /> CONTACT: ❑ Owner ❑ Applicant ❑Other <br /> NAME: [ContactName] <br /> PHONE: [ContactPhone] <br /> EMAIL: [ContactEmail] <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: SUB I`I'0©J <br /> PW Permit Required?Ef YES ❑ NO W.O.#: ,�/ <br /> Notes: Associated Bldg./PW Permit#: CI DD 6'" c.? <br /> FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br /> $ YES—Type (3'D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: 6N-E,, <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: 6_4 FIRE SERVICE: <br /> 'R YES—Amount$ S�0• II ❑YES—Amount$ <br /> WMeter Only, ❑ Complete Service, Size ❑%" Detect Meter Only, ❑ Fire Service Size <br /> ❑ NO EiNO <br /> Explanation: Explanation: <br /> ❑ RPBA Needed at premise?-(Plumbing permit for backflow device needed due to High-Hazard Site per Tim Markham's review) <br /> ❑Water Department Cost Estimate Needed-(If yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> ef- <br /> '9(YES—Amount$ B(New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> AYES—Amount$ 9,910% A0 ❑ See Attached Spreadsheet <br /> ❑ NO—No Change of Use/Other '/ <br /> Explanation: nqo <br /> (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) <br /> TRAFFIC MITIGATION FEE? <br /> ❑ YES—Amount$ ❑ See Attached Spreads <br /> 1KNO f <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) <br /> ES YES—TYPE aM C9 See Attached Letter <br /> ❑ NO <br /> 40�_� <br /> REVISED 10/11/2016 <br />