1918 78TH PL SE 2017-08-28 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/25/2016 Permit#: C1603-057 PROJECT ADDRESS: 1918 78TH PL SE LOT 30 1,6 Ox� - OSd DESCRIPTION OF WORK: NEW TOWNHOUSE (MARION 1816) 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 WQRKS REVIEWER: LAND USE PROJECT#: PW Permit Required? ❑ YES ❑ NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED?(by Fire Department/Code) YES—Type 13 (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: / -�C f[ FIRE SERVICE: ❑YES—Amount$ SSD 0 � /I ❑YES—Amount$ VMeter 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? C ES—Amount$�o ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? I6 *ES—Amount$ — X4 ❑ See Attached Spreadsheet A"90'e- 0 NO—No Change of Use/Other Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? �ES—Amount$ ❑ See Attached Spreadsheet ADDRESS LETTER REQUIRED.? (If yes (new assigned address), print out Address Letter from TRAKiT Print Menu and include) ES—TYPE ❑ See Attached Letter ❑ NO Publi rks eviewer Signature Date REVISED 2/24/201