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PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 10/18/2016 <br /> Permit#: PW1610-024 <br /> PROJECT ADDRESS: 7811 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#: S'UB l / ^®OBJ <br /> PW Permit Required?19 YES ❑ NO W.O.#: n I <br /> Notes: Associated Bldg./PW Permit#: CM6"Qa3 <br /> FIRE SPRINKLER REQUIRED? (by Fire Department/Code) <br /> bi(YES—Type 13 D (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and Stamp Drawings) <br /> ❑ NO <br /> Explanation: Rkc— 0-0PE <br /> (Note: Counter Staff to Create Utility Permit for any WaterlSewer/System Development Fees) <br /> WATER FEES? <br /> DOMESTIC SERVICE: // FIRE SERVICE: <br /> N(YES—Amount$ 5b0• �� ❑YES—Amount$ <br /> Meter Only, ❑ Complete Service, Size If ❑ %" Detect Meter Only, ❑ Fire Service Size <br /> ONO 10 NO <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-(/f yes, PW Reviewer to send cost estimate request to Water Department, attach copy) <br /> Existing Utility Permit#(if applicable): <br /> SEWER FEE? <br /> %(YES—Amount New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENT FEE? <br /> IKYES—Amount$ '�,9 6 2 . 12 ❑ 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$ %t ❑ See Attached Spreadsheet <br /> I(N O POA kATn N^'u'` W U <br /> ADDRESS LETTER REQUIRED? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) <br /> ' YES—TYPE See Attached Letter <br /> ❑ NO <br /> 6"'Ak <br /> REVISED 10/11/2016 <br />