Laserfiche WebLink
PUBLIC WORKS <br /> REVIEW WORKSHEET <br /> (ATTACH 1 SITE PLAN FOR REVIEW) Date: 7/s/2o16 <br /> Permit#: PW1607-008 <br /> PROJECT ADDRESS: 931 BROADWAY <br /> DESCRIPTION OF WORK: SITE DEVELOPMENT FOR NEW STUDENT HOUSING BLDG <br /> CONTACT INFORMATION: <br /> OWNER: APPLICANT: <br /> NAME: Teutsch Partners LLC NAME: [AppName] <br /> ADDRESS: 2001 Western Ave Ste 330 ADDRESS: [AppAdd] <br /> SEATTLE, WA, 98121 [AppCi], [AppSt], [AppZip] <br /> PHONE: PHONE: [AppPhone] <br /> EMAIL: EMAIL: [AppEmail] <br /> i <br /> CONTACT: ❑ Owner ❑ Applicant �Other Q'��'1�'� �'Lf�. <br /> NAME: WALKER JOHN <br /> PHONE: 2067281130 <br /> EMAIL: JWALKER@TEUTSCH.COM <br /> COMMENTS FROM PUBLIC WORKS REVIEWER: LAND USE PROJECT#: <br /> PW Permit Required? � YES ❑ NO W.O.#: <br /> Notes: Associated Bldg./PW Permit#: g l�0�"�� <br /> FIRE SPRINKLER REQUIRED? (by Fire DepartmenUCode) <br /> �YES-Type (If yes, add to TRAKiT under Reviewer Comments on Bldg Permit and St ii�p Dr�wings) <br /> ❑ N O r�,,-�. r ^ ` I ��/��� S'�;�h�E.(£'/L A <br /> Explanation: r(1 � �-CJ�� "'� ` Q J�ii'Y��r'Eylifl,C/'Li: ' �lLum(�'�I'• <br /> G <br /> (Note: Counter Staff to Create Utility Permit for any Water/Sewer/System Devel pment Fees) <br /> WATER FEES? ,-__�g� <br /> DOMESTIC SERVICE:�J 'r �, FlRE SERVICE: �'��i. S�C(�t%'� C'_CS�t" f�'�Y�"1�-C� <br /> ��YES-Amount$ '7; `f(J�. � �� �YES-Amount$ �� <br /> ❑ Meter Only, �Complete Service, Size�_ �3/4" Detect Meter�, L�Fire Service Size�_ <br /> ❑ NO ❑ NO ^- � ���� � � � <br /> Explanation: Explanation:l��'�'� ��(�� -S`��- �c.UA,(:f'j�.d ' ' �' <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 /> �YES-Amount$ ��„ �(New Connection, ❑Alteration/Repair, ❑ Cap-off/Reconnect <br /> ❑ NO <br /> Explanation: <br /> Existing Utility Permit#(if applicable): <br /> SYSTEM DEVELOPMENTFEE? <br /> �YES-Amount$ �S�. � �,(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 FE � <br /> �YES-Amount$ ❑ Se Attached Spreadsheet <br /> ❑ NO �v 'I U C � SMCk'1 <br /> ADDRESS LETTER REQUIRE ? (If yes fnew assigned address), print out ddress Letter from TRAKiT Print Menu and include) <br /> YES TYPE �, U 11�See Attached Letter � �L� �0 P(�jE�}'��`�, <br /> ❑ NO <br /> � � " ��a16 <br /> Public Works Reviewer Signature Date <br /> REvisEovzaizois � c;.,�-u ��. �1;i;� 1;(f+ �'y I�'//�'!l� /'���1d�l�t�.�c�/)S <br />