1920 78TH PL SE 2017-08-28 - Laserfiche WebLink

PUBLIC WORKS REVIEW WORKSHEET (ATTACH 1 SITE PLAN FOR REVIEW) Date: 3/25/2016 Permit#: C1603-058 PROJECT ADDRESS: 1920 78TH PL SE LOT 31 !, ) Igo i� DESCRIPTION OF WORK: NEW TOWNHOUSE (MARION 1816) �`^' v 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?OYES ❑ NO W.O.#: Notes: Associated Bldg./PW Permit#: FIRE SPRINKLER REQUIRED?(byFire Department/Code) JKYES—Type 3 iL--.1 (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/S wer/System Development Fees) WATER FEES? DOMESTIC SERVICE: FIRE SERVICE: ❑YES—Amount$ ��r [[ ❑YES—Amount$ eter Only, ❑ Complete Service, Size 13 %" Detect Meter Only, ❑ Fire Service Size ❑ � 13 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? At"YES—Amount$ --7D ❑ New Connection, ❑ Alteration/Repair, ❑ Cap-off/Reconnect ❑ NO Explanation: Existing Utility Permit#(if applicable): SYSTEM DEVELOPMENT FEE? c . b YES—Amount$ '7T9f(2 - ❑ See Attached Spreadsheet �/2.,c f�af6 x.1: ❑ NO—No Change of Use/Other d Explanation: (Note:Public Works Reviewer to Add Traffic Mitigation to PW Permit(if applicable)) TRAFFIC MITIGATION FEE? ❑ YES—Amou $ ❑ See Attached Spreadsheet AaC o 2C „ ou 8Cy ADDRESS LETTER REQUIRED? (If yes (new assigned address), printout Address Letter from TRAKiT Print Menu and include) YES—TYPE El See Attached Letter ❑ NO Public s Reviewer Signature Date 1 REVISED 2/24/2016